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General NPI Number Information
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NPI Number | 1881691046
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Entity Type | Individual
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Provider Name | MARCIA P FLORES WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/02/2005
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 991 4TH ST
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City | HOLLISTER
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State | CA
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Zip | 95023-3643
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Country | US
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Telephone | 831-636-3277
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Fax | 831-636-3718
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Provider Business Mailing Address
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Address Line | 991 4TH ST
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City | HOLLISTER
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State | CA
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Zip | 95023-3643
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Country | US
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Telephone | 831-636-3277
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Fax | 831-636-3718
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN063643
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License Number State | AZ
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