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General NPI Number Information
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NPI Number | 1558476986
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Entity Type | Individual
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Provider Name | WALESKA FLORES D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9648 FM 1960 BYPASS RD W
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City | HUMBLE
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State | TX
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Zip | 77338-4039
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Country | US
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Telephone | 281-540-8100
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Fax | 281-540-4540
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Provider Business Mailing Address
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Address Line | 26615 OAK RIDGE DR
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1968
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Country | US
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Telephone | 281-296-8600
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Fax | 281-296-9509
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22062
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License Number State | TX
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