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General NPI Number Information
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NPI Number | 1497672620
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Entity Type | Individual
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Provider Name | GENESIS GISSELLE FLORES GARCIA PARAMEDIC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 2265 LEWISVILLE CLEMMONS RD STE C
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City | CLEMMONS
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State | NC
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Zip | 27012-7459
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Country | US
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Telephone | 336-716-8575
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Fax |
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Provider Business Mailing Address
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Address Line | 511 N CHERRY ST APT 211
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City | WINSTON SALEM
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State | NC
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Zip | 27101-3085
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Country | US
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Telephone | 336-934-9143
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | P542947
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License Number State | NC
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