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General NPI Number Information
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NPI Number | 1750243119
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Entity Type | Individual
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Provider Name | AURORA G FLORES BUSTAMANTE DDS
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Gender | Female
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | AVENIDA CARLOS G CALLES 5 Y 6 #505
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City | SAN LUIS RIO COLORADO
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State | SONORA
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Zip | 83449
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Country | MX
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15197
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City | SAN LUIS
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State | AZ
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Zip | 85349-6940
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Country | US
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Telephone | 928-509-1279
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Fax | 928-361-2599
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7590988
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License Number State | AZ
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