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General NPI Number Information
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NPI Number | 1245764497
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Entity Type | Individual
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Provider Name | REBECCA FLOYD PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/14/2017
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 701 PARK AVE # B1
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City | MINNEAPOLIS
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State | MN
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Zip | 55415-1623
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Country | US
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Telephone | 612-873-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 9655 SCHMIDT LAKE RD STE 150
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City | PLYMOUTH
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State | MN
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Zip | 55442-4507
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Country | US
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Telephone | 763-559-1640
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY004076
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | GL0072
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LP6222
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License Number State | MN
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