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General NPI Number Information
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NPI Number | 1447112776
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Entity Type | Individual
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Provider Name | NYASHA JONEE FLORES
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Gender | Female
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 20 MAIN ST
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City | DENVER
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State | PA
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Zip | 17517-1610
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Country | US
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Telephone | 717-875-1655
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Fax | 717-335-8488
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Provider Business Mailing Address
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Address Line | 230 N HANOVER ST APT 113
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-1900
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Country | US
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Telephone | 717-422-1155
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC019651
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License Number State | PA
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