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NPI Code Detail

MEDICARE: REBECCA BOYD

MEDICARE:   REBECCA  BOYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP.8648OH

General Provider Information

NPI Number : 1306362561
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA BOYD
Provider Business Mailing Address
First Line : 3177 GOLDEN FOX TRL
Second Line :
City : LEBANON
State : OH
Zip : 45036-8604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 202 JACKSON ST
Second Line :
City : FARMERSVILLE
State : OH
Zip : 45325-1024
Country : US
Telephone Number : 937-696-2591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2017
Last Update Date : 08/19/2017

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Directions to “ REBECCA BOYD ” Practice Location

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