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General NPI Number Information
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NPI Number | 1649602145
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Entity Type | Individual
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Provider Name | SANDRA ELIZABETH FLORES FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 07/19/2017
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Provider Practice Location Address
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Address Line | 1218 W MONTE CRISTO RD
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City | EDINBURG
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State | TX
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Zip | 78541-3873
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Country | US
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Telephone | 956-287-4925
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Fax | 956-287-4815
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Provider Business Mailing Address
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Address Line | 1218 W. MONTE CRISTO RD.
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City | EDINBURG
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State | TX
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Zip | 78541
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Country | US
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Telephone | 956-287-4925
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Fax | 956-287-4815
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 703650
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License Number State | TX
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