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General NPI Number Information
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NPI Number | 1396945051
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Entity Type | Organization
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Legal Business Name | BRAULIO FLORES, MD, PLLC
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 03/12/2009
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Provider Practice Location Address
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Address Line | 1 STONE PL SUITE 302
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City | BRONXVILLE
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State | NY
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Zip | 10708-3426
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Country | US
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Telephone | 914-202-7740
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Fax | 914-346-8266
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Provider Business Mailing Address
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Address Line | 1 STONE PL SUITE 302
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City | BRONXVILLE
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State | NY
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Zip | 10708-3426
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Country | US
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Telephone | 914-202-7740
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Fax | 914-346-8266
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BRAULIO FLORES
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Credential | M.D.
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Telephone | 914-202-7740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number | 223994
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number | 223994
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 223994
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 223994
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 223994
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 223994
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License Number State | NY
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