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General NPI Number Information
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NPI Number | 1447243670
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Entity Type | Individual
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Provider Name | NATHAN SCOTT FLOYD M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 107 W MEDICAL PARK DR
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City | LEXINGTON
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State | NC
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Zip | 27292-6851
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Country | US
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Telephone | 336-713-0033
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Fax | 336-713-0035
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Provider Business Mailing Address
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Address Line | 100 KIMEL FOREST DR
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City | WINSTON SALEM
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State | NC
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Zip | 27103-6074
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Country | US
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Telephone | 336-713-0033
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Fax | 336-713-0035
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME89864
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 47377
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 2023-00903
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License Number State | NC
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