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General NPI Number Information
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NPI Number | 1437797966
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Entity Type | Individual
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Provider Name | MADISON FLORES MS, CPC
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Gender | Female
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Dates
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Enumeration Date | 12/16/2019
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 5940 S RAINBOW BLVD STE 400 #122630
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City | LAS VEGAS
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State | NV
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Zip | 89118-2507
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Country | US
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Telephone | 702-723-0793
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Fax |
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Provider Business Mailing Address
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Address Line | 5940 S RAINBOW BLVD STE 400 #122630
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City | LAS VEGAS
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State | NV
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Zip | 89118-2507
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Country | US
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Telephone | 702-723-0793
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CP5710
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CI5050
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License Number State | NV
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