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General NPI Number Information
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NPI Number | 1992417539
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Entity Type | Individual
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Provider Name | JAMES AARON FLORES
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Gender | Male
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 1000 S HILL RD
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City | VENTURA
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State | CA
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Zip | 93003-4455
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Country | US
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Telephone | 805-477-6680
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Fax |
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Provider Business Mailing Address
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Address Line | 78 ALHAMBRA AVE
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City | VENTURA
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State | CA
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Zip | 93004-3840
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Country | US
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Telephone | 909-560-7514
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95022013
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License Number State | CA
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