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General NPI Number Information
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NPI Number | 1750374997
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Entity Type | Individual
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Provider Name | LAURA A LLOYD DPM
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Gender | Female
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 403 W 15TH ST
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City | WASHINGTON
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State | NC
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Zip | 27889-3524
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Country | US
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Telephone | 252-946-0324
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Fax | 252-948-0558
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Provider Business Mailing Address
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Address Line | 403 W 15TH ST
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City | WASHINGTON
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State | NC
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Zip | 27889-3524
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Country | US
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Telephone | 252-946-0324
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Fax | 252-948-0558
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 210
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC002874L(INACTIVE)
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License Number State | PA
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