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General NPI Number Information
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NPI Number | 1780046904
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Entity Type | Individual
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Provider Name | GINA LYNN FLORES AU.D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2016
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Last Update Date | 12/16/2016
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Provider Practice Location Address
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Address Line | 4702 67TH ST SUITE A
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City | LUBBOCK
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State | TX
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Zip | 79414-5004
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Country | US
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Telephone | 806-224-1755
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Fax | 806-224-1674
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Provider Business Mailing Address
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Address Line | 4702 A 67TH STREET SUITE A
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City | LUBBOCK
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State | TX
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Zip | 79414-5004
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Country | US
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Telephone | 806-224-1755
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Fax | 806-224-1674
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 80680
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License Number State | TX
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