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General NPI Number Information
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NPI Number | 1639391246
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Entity Type | Organization
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Legal Business Name | HILLIARD DEREK FLOYD MD PA
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 421 E. 1ST STREET
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City | DUMAS
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State | TX
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Zip | 79029
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Country | US
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Telephone | 806-935-5094
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Fax | 806-935-9703
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Provider Business Mailing Address
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Address Line | 421 E. 1ST STREET
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City | DUMAS
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State | TX
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Zip | 79029
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Country | US
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Telephone | 806-935-5094
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Fax | 806-934-9703
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Authorized Official
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Title or Position | PRESIDENT
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Name | HILLIARD D FLOYD
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Credential | MD
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Telephone | 806-935-5094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | F3959
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License Number State | TX
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