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General NPI Number Information
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NPI Number | 1588016026
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Entity Type | Organization
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Legal Business Name | FLORES AND FLORES INC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 7543 SANTA MONICA BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-6406
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Country | US
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Telephone | 323-988-5900
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Fax | 323-400-4238
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Provider Business Mailing Address
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Address Line | 7543 SANTA MONICA BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-6406
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Country | US
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Telephone | 323-988-5900
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Fax | 323-400-4238
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Authorized Official
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Title or Position | CO
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Name | MAXIM TSELEVICH
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Credential |
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Telephone | 323-988-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A32929
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License Number State | CA
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