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General NPI Number Information
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NPI Number | 1013339373
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Entity Type | Individual
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Provider Name | KAYDON J LLOYD PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/06/2014
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 999 N CURTIS RD STE 415
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City | BOISE
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State | ID
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Zip | 83706-1334
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Country | US
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Telephone | 208-302-2600
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Fax | 208-302-2625
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Provider Business Mailing Address
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Address Line | 3916 STATE ST SUITE 300
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City | SANTA BARBARA
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State | CA
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Zip | 93105-5602
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Country | US
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Telephone | 800-230-5160
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Fax | 801-682-1458
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA2013-0095
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 5771
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4771961
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License Number State | ID
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