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General NPI Number Information
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NPI Number | 1558274092
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Entity Type | Individual
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Provider Name | MRS. TIMBERLYN M FLORY
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Gender | Female
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | BUILDING II, 22567 SUMMIT DR STE B, WATERTOWN, NY 1360
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City | WATERTOWN
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State | NY
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Zip | 13601
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Country | US
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Telephone | 315-786-6821
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Fax |
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Provider Business Mailing Address
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Address Line | 831 COUNTY ROUTE 62
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City | SANDY CREEK
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State | NY
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Zip | 13145-2108
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Country | US
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Telephone | 315-804-7494
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 333296
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License Number State | NY
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