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NPI 1013977230

NPI 1013977230 : JAMES P BOYLAND O. D. : WILMINGTON, DE

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General NPI Number Information
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    NPI Number           |    1013977230
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES P BOYLAND O. D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/23/2006
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    Last Update Date     |    05/30/2024
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Provider Practice Location Address
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    Address Line         |    4605 KIRKWOOD HWY STE A 
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    City                 |    WILMINGTON
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    State                |    DE
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    Zip                  |    19808-5005
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    Country              |    US
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    Telephone            |    302-999-7171
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    Fax                  |    302-993-7863
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Provider Business Mailing Address
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    Address Line         |    8614 WESTWOOD CENTER DR FL 9 
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    City                 |    VIENNA
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    State                |    VA
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    Zip                  |    22182-2442
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    Country              |    US
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    Telephone            |    703-847-8899
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    Fax                  |    703-991-0514
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    130001261
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    License Number State |    DE
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