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General NPI Number Information
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NPI Number | 1316435241
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Entity Type | Organization
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Legal Business Name | DANIEL J FLOYD DMD MS LLC
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 08/16/2018
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Provider Practice Location Address
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Address Line | 863 W. MAIN ST. SUITE 200
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City | MOLALLA
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State | OR
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Zip | 97038
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Country | US
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Telephone | 503-878-8887
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Fax | 888-834-2818
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Provider Business Mailing Address
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Address Line | 863 W. MAIN ST. SUITE 200
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City | MOLALLA
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State | OR
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Zip | 97038
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Country | US
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Telephone | 503-878-8887
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Fax | 888-834-2818
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DANIEL FLOYD
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Credential | DMD, MS
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Telephone | 503-878-8887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | D9456
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License Number State | OR
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