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General NPI Number Information
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NPI Number | 1578985859
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Entity Type | Individual
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Provider Name | RICHARD C. FLORES LISW
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Gender | Male
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Dates
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Enumeration Date | 01/06/2014
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Last Update Date | 01/06/2014
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Provider Practice Location Address
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Address Line | 2001 SPRING DR. SE
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City | RIO RANCHO
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State | NM
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Zip | 87124
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Country | US
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Telephone | 505-994-0364
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Fax | 505-994-0384
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Provider Business Mailing Address
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Address Line | PO BOX 67197
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City | ALBUQUERQUE
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State | NM
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Zip | 87193
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Country | US
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Telephone | 505-994-0364
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Fax | 505-994-0384
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | I-1972
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License Number State | NM
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