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General NPI Number Information
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NPI Number | 1932920634
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Entity Type | Organization
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Legal Business Name | FLOYD HEALTHCARE INC
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 249 FRANKLIN PIKE SE
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City | FLOYD
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State | VA
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Zip | 24091
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Country | US
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Telephone | 201-805-5637
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Fax |
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Provider Business Mailing Address
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Address Line | 288 YARROW WAY SE
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City | FLOYD
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State | VA
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Zip | 24091
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Country | US
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Telephone | 201-805-5637
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/PRESIDENT
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Name | DR. H. JEDIDIAH DUENSING
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Credential | DO
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Telephone | 201-805-5637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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