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General NPI Number Information
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NPI Number | 1699767657
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Entity Type | Individual
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Provider Name | REBECA FLORES MORALES MD
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Gender | Female
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 6010 W AMARILLO BLVD AMARILLO VA HEALTH CARE SYSTEM
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City | AMARILLO
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State | TX
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Zip | 79106-1990
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Country | US
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Telephone | 940-937-8528
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Fax | 940-937-8628
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Provider Business Mailing Address
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Address Line | 438A LAWTON AVE
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City | CLIFFSIDE PARK
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State | NJ
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Zip | 07010-1911
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Country | US
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Telephone | 201-214-3620
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 10105
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License Number State | PR
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