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General NPI Number Information
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NPI Number | 1992826994
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Entity Type | Individual
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Provider Name | ALICIA MASSOP-FLOWERS D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 13130 MERRICK BLVD
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City | JAMAICA
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State | NY
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Zip | 11434-4134
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Country | US
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Telephone | 718-233-2556
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Fax | 718-233-2569
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Provider Business Mailing Address
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Address Line | 13130 MERRICK BLVD
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City | JAMAICA
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State | NY
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Zip | 11434-4134
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Country | US
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Telephone | 718-233-2556
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Fax | 718-233-2569
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 237021
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License Number State | NY
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