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General NPI Number Information
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NPI Number | 1437112968
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Entity Type | Organization
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Legal Business Name | FLOYD DEEN, JR., M.D., P.A.
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 402 MORVEN RD
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City | WADESBORO
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State | NC
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Zip | 28170-2743
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Country | US
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Telephone | 704-694-5164
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Fax | 704-695-1184
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Provider Business Mailing Address
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Address Line | 402 MORVEN RD
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City | WADESBORO
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State | NC
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Zip | 28170-2743
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Country | US
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Telephone | 704-694-5164
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Fax | 704-695-1184
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Authorized Official
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Title or Position | ASSISTANT OFFICE MANAGER
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Name | MS. DEBBIE CARPENTER
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Credential |
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Telephone | 704-694-5164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 39033
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License Number State | NC
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