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General NPI Number Information
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NPI Number | 1659865970
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Entity Type | Individual
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Provider Name | ELIZABETH FLORY MD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 331 VERANDA ST
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City | PORTLAND
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State | ME
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Zip | 04103-5545
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Country | US
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Telephone | 207-828-2402
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Fax | 207-828-2433
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Provider Business Mailing Address
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Address Line | PO BOX 9746
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City | PORTLAND
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State | ME
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Zip | 04104-5040
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Country | US
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Telephone | 207-791-3888
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Fax | 207-253-6230
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD24944
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License Number State | ME
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