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General NPI Number Information
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NPI Number | 1518349240
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Entity Type | Individual
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Provider Name | CINDY FLAMENCO
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Gender | Female
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 11600 ELDRIDGE AVE
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City | LAKE VIEW TERRACE
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State | CA
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Zip | 91342-6506
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Country | US
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Telephone | 818-403-4529
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Fax |
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Provider Business Mailing Address
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Address Line | 13033 WEIDNER ST
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City | PACOIMA
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State | CA
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Zip | 91331-1822
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Country | US
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Telephone | 661-755-9811
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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