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General NPI Number Information
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NPI Number | 1730550112
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Entity Type | Individual
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Provider Name | JUAN FLORES N.P.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 1970 UNIVERSITY AVE
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City | RIVERSIDE
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State | CA
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Zip | 92507-5202
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Country | US
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Telephone | 833-867-4642
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 INTERNATIONAL BLVD
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City | OAKLAND
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State | CA
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Zip | 94606-3730
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Country | US
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Telephone | 510-238-5400
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Fax | 510-238-5437
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95053130
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95005951
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License Number State | CA
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