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General NPI Number Information
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NPI Number | 1104228048
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Entity Type | Organization
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Legal Business Name | PERRY R LLOYD III MD
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 2207 SUNRISE BLVD
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City | FORT PIERCE
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State | FL
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Zip | 34950-5366
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Country | US
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Telephone | 772-465-0491
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Fax |
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Provider Business Mailing Address
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Address Line | 2207 SUNRISE BLVD
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City | FORT PIERCE
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State | FL
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Zip | 34950-5366
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Country | US
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Telephone | 772-465-0491
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DEBORAH LLOYD
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Credential |
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Telephone | 772-971-7451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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