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General NPI Number Information
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NPI Number | 1063783256
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Entity Type | Organization
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Legal Business Name | SAMUEL J. LLOYD MD PC
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 550 HOSPITAL DRIVE
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City | WARRENTON
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State | VA
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Zip | 20186
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Country | US
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Telephone | 540-347-9450
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Fax |
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Provider Business Mailing Address
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Address Line | 550 HOSPITAL DRIVE
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City | WARRENTON
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State | VA
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Zip | 20186
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Country | US
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Telephone | 540-347-9450
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAMUEL JOSEPH LLOYD JR.
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Credential | MD
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Telephone | 540-347-9450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 0101025875
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License Number State | VA
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