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General NPI Number Information
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NPI Number | 1235165697
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Entity Type | Individual
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Provider Name | DIANE C LLOYD ATC
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Gender | Female
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 405 NW 3RD ST
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City | ANDREWS
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State | TX
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Zip | 79714-5014
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Country | US
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Telephone | 432-523-3640
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Fax | 432-524-1973
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Provider Business Mailing Address
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Address Line | 1305 NW 16TH ST
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City | ANDREWS
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State | TX
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Zip | 79714-2601
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Country | US
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Telephone | 575-318-9694
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Fax | 432-524-1973
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 175
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License Number State | NM
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