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General NPI Number Information
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NPI Number | 1255520466
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Entity Type | Individual
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Provider Name | TRAVIS ERICA LLOYD M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 5040 SNAPFINGER WOODS DR SUITE 108
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City | DECATUR
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State | GA
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Zip | 30035-4020
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Country | US
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Telephone | 770-981-0600
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Fax | 770-981-0677
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Provider Business Mailing Address
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Address Line | 5040 SNAPFINGER WOODS DR SUITE 108
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City | DECATUR
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State | GA
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Zip | 30035-4020
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Country | US
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Telephone | 770-981-0600
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Fax | 770-981-0677
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 053065
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 053065
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License Number State | GA
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