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General NPI Number Information
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NPI Number | 1740726975
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Entity Type | Organization
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Legal Business Name | TIMOTHY FLOYD, MD, PLLC
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Dates
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Enumeration Date | 01/11/2017
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Last Update Date | 01/11/2017
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Provider Practice Location Address
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Address Line | 1075 N CURTIS RD SUITE 101
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City | BOISE
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State | ID
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Zip | 83706-1300
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Country | US
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Telephone | 208-367-7463
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Fax | 208-367-7507
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Provider Business Mailing Address
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Address Line | PO BOX 1240
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City | EAGLE
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State | ID
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Zip | 83616-1240
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Country | US
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Telephone | 208-367-7463
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Fax | 208-367-7507
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Authorized Official
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Title or Position | M.D., OWNER
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Name | TIMOTHY FLOYD
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Credential | M.D.
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Telephone | 208-938-0434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | M5623
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License Number State | ID
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