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NPI 1275740953

NPI 1275740953 : DR. JAMES P FLOYD LLC : SHREVEPORT, LA

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General NPI Number Information
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    NPI Number           |    1275740953
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. JAMES P FLOYD LLC 
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Dates
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    Enumeration Date     |    05/16/2007
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    Last Update Date     |    12/13/2007
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Provider Practice Location Address
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    Address Line         |    820 JORDAN ST SUITE 210
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    City                 |    SHREVEPORT
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    State                |    LA
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    Zip                  |    71101-4518
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    Country              |    US
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    Telephone            |    318-675-1324
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    Fax                  |    318-675-1024
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Provider Business Mailing Address
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    Address Line         |    820 JORDAN ST SUITE 210
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    City                 |    SHREVEPORT
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    State                |    LA
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    Zip                  |    71101-4518
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    Country              |    US
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    Telephone            |    318-675-1324
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    Fax                  |    318-675-1024
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JAMES P. FLOYD 
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    Credential           |    D.O.
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    Telephone            |    318-675-1024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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