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General NPI Number Information
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NPI Number | 1720657646
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Entity Type | Individual
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Provider Name | EMMA ALEXANDRA FLOR OD, MPH
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Gender | Female
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Dates
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Enumeration Date | 06/24/2021
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Last Update Date | 06/24/2021
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Provider Practice Location Address
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Address Line | 1957 WHITNEY AVE STE 2
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City | NORTH HAVEN
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State | CT
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Zip | 06473-4400
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Country | US
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Telephone | 203-941-6859
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Fax |
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Provider Business Mailing Address
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Address Line | 258 NICOLL ST APT 2R
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City | NEW HAVEN
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State | CT
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Zip | 06511-2661
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3203
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License Number State | CT
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