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General NPI Number Information
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NPI Number | 1366405417
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Entity Type | Individual
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Provider Name | CLARENCE EARL LLOYD JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 190 KIMEL PARK DR VA OUTPATIENT CLINIC
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City | WINSTON-SALEM
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State | NC
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Zip | 27103-6946
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Country | US
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Telephone | 336-768-3296
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Fax | 336-760-5481
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Provider Business Mailing Address
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Address Line | 4503 BROOKHAVEN DR
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City | GREENSBORO
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State | NC
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Zip | 27406-9345
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Country | US
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Telephone | 336-674-7824
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 19366
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 19366
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 19366
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 19366
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 19366
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 19366
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 19366
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 19366
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License Number State | NC
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