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General NPI Number Information
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NPI Number | 1336783208
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Entity Type | Individual
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Provider Name | JAIME L FLOYD CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 11/04/2019
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 8402 HARCOURT RD STE 830
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2096
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Country | US
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Telephone | 317-338-8857
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Fax |
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Provider Business Mailing Address
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Address Line | 8402 HARCOURT RD STE 830
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2096
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28222178A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 71010086A
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License Number State | IN
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