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General NPI Number Information
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NPI Number | 1104566413
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Entity Type | Individual
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Provider Name | ADAM RYAN FLOYD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2022
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 105 VEST MILL CIR
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City | WINSTON SALEM
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State | NC
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Zip | 27103-2943
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Country | US
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Telephone | 336-718-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 105 VEST MILL CIR
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City | WINSTON SALEM
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State | NC
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Zip | 27103-2943
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Country | US
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Telephone | 817-368-0795
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2024-00125
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License Number State | NC
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