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General NPI Number Information
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NPI Number | 1669652145
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Entity Type | Organization
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Legal Business Name | PHILIP A. FLOYD, M.D.,P.C.
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 2800 NW 63RD ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-4839
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Country | US
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Telephone | 405-286-5557
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Fax | 405-286-5680
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Provider Business Mailing Address
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Address Line | PO BOX 25016
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City | OKLAHOMA CITY
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State | OK
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Zip | 73125-0016
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Country | US
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Telephone | 405-286-5557
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Fax | 405-286-5680
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Authorized Official
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Title or Position | GENERAL SURGEON
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Name | DR. PHILIP A. FLOYD
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Credential | M.D.
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Telephone | 405-286-5557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 21042
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License Number State | OK
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