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General NPI Number Information
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NPI Number | 1871521211
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Entity Type | Individual
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Provider Name | RICHARD J LLOYD ATC, ED. D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5317 LOVINGTON HWY
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City | HOBBS
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State | NM
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Zip | 88240
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Country | US
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Telephone | 505-392-2332
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Fax | 505-392-5871
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Provider Business Mailing Address
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Address Line | 2008 N. ROJO
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City | HOBBS
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State | NM
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Zip | 88240
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Country | US
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Telephone | 606-397-3056
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Fax |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0069
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License Number State | NM
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