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NPI 1215149935

NPI 1215149935 : DELINDA S FLOYD MPT : SPRINGDALE, AR

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General NPI Number Information
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    NPI Number           |    1215149935
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    Entity Type          |    Individual 
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    Provider Name        |    DELINDA S FLOYD MPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/04/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    609 W MAPLE AVE 
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    City                 |    SPRINGDALE
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    State                |    AR
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    Zip                  |    72764-5335
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    Country              |    US
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    Telephone            |    479-750-6240
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    Fax                  |    479-750-6627
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Provider Business Mailing Address
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    Address Line         |    1301 E COURAGE 
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    City                 |    SILOAM SPRINGS
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    State                |    AR
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    Zip                  |    72761-2079
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    Country              |    US
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    Telephone            |    479-215-9863
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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        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    PT 2807
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    License Number State |    AR
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