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General NPI Number Information
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NPI Number | 1528493483
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Entity Type | Individual
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Provider Name | MICHAEL FLORES
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Gender | Male
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 444 BUTTERFLY GARDENS DR
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City | COLUMBUS
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State | OH
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Zip | 43215-3427
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Country | US
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Telephone | 614-938-0350
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Fax | 614-938-0170
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Provider Business Mailing Address
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Address Line | 700 CHILDRENS DR
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City | COLUMBUS
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State | OH
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Zip | 43205-2664
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Country | US
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Telephone |
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | P.7391
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License Number State | OH
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