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General NPI Number Information
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NPI Number | 1639292436
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Entity Type | Individual
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Provider Name | KELLY LYNN FLOREN RPH
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Gender | Female
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Dates
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Enumeration Date | 04/08/2007
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 406 BLUE RIDGE CT
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City | ALLEN
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State | TX
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Zip | 75013-4765
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Country | US
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Telephone | 972-396-0924
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Fax |
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Provider Business Mailing Address
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Address Line | 406 BLUE RIDGE CT
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City | ALLEN
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State | TX
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Zip | 75013-4765
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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 | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 34674
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License Number State | TX
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