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General NPI Number Information
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NPI Number | 1366964058
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Entity Type | Individual
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Provider Name | AMY LOUISE FLORKIEWICZ IDMT
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Gender | Female
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1050 W PERIMETER RD
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City | JB ANDREWS
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State | MD
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Zip | 20762-6601
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Country | US
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Telephone | 301-981-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 902 WHITMAN DR
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-1335
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1710I1003X
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Taxonomy Name | Independent Duty Medical Technicians
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License Number |
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License Number State |
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