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General NPI Number Information
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NPI Number | 1447159140
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Entity Type | Individual
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Provider Name | MRS. TERRA LYNN LLOYD
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Gender | Female
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 3940 E VISION DR
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City | IDAHO FALLS
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State | ID
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Zip | 83401-6226
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Country | US
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Telephone | 707-363-9946
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Fax | 208-523-3360
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Provider Business Mailing Address
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Address Line | 3940 E VISION DR
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City | IDAHO FALLS
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State | ID
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Zip | 83401-6226
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Country | US
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Telephone | 707-363-9946
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Fax | 208-523-3360
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | T62308
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License Number State | ID
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