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General NPI Number Information
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NPI Number | 1891109708
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Entity Type | Individual
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Provider Name | PAUL EDWARD FLOOD JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2014
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 3475 N SARATOGA ST
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City | OAK HARBOR
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State | WA
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Zip | 98278-4927
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Country | US
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Telephone | 360-275-9735
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Fax |
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Provider Business Mailing Address
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Address Line | 3475 N SARATOGA ST
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City | OAK HARBOR
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State | WA
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Zip | 98278-4927
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101258616
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License Number State | VA
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