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General NPI Number Information
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NPI Number | 1750102729
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Entity Type | Individual
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Provider Name | JOURNEY ALEXIS FLORES
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Gender | Female
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 3021 FRANKLIN AVE
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City | RIVERSIDE
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State | CA
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Zip | 92507-3337
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Country | US
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Telephone | 951-358-7877
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Fax |
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Provider Business Mailing Address
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Address Line | 32520 SPRUCEWOOD WAY
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City | LAKE ELSINORE
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State | CA
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Zip | 92532-2515
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Country | US
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Telephone | 714-402-7562
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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