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NPI 1639171333

NPI 1639171333 : DON BENJAMIN FLOYD D.P.M. : LYNNWOOD, WA

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General NPI Number Information
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    NPI Number           |    1639171333
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    Entity Type          |    Individual 
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    Provider Name        |    DON BENJAMIN FLOYD D.P.M.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/11/2005
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    Last Update Date     |    06/15/2012
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Provider Practice Location Address
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    Address Line         |    3500 188TH ST SW STE 110 
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    City                 |    LYNNWOOD
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    State                |    WA
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    Zip                  |    98037-4757
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    Country              |    US
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    Telephone            |    425-778-5666
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    Fax                  |    425-771-5374
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Provider Business Mailing Address
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    Address Line         |    3500 188TH ST SW STE 110 
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    City                 |    LYNNWOOD
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    State                |    WA
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    Zip                  |    98037-4757
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    Country              |    US
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    Telephone            |    425-778-5666
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    Fax                  |    425-771-5374
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    PO00000346
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    License Number State |    WA
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