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General NPI Number Information
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NPI Number | 1801925037
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Entity Type | Individual
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Provider Name | MS. BERENICE FLYNT
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 624 RUBY ST
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City | IMPERIAL
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State | CA
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Zip | 92251-2503
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Country | US
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Telephone | 760-791-1335
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Fax |
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Provider Business Mailing Address
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Address Line | 313 S WATERMAN AVE
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City | EL CENTRO
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State | CA
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Zip | 92243-2215
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Country | US
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Telephone | 442-265-7353
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Fax | 442-265-7351
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State | CA
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