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General NPI Number Information
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NPI Number | 1033786496
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Entity Type | Individual
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Provider Name | KELLY LINDERS BOYER M.S. CCC-A/SLP
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Gender | Female
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 1528 ESTATES WAY
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City | CARROLLTON
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State | TX
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Zip | 75006-1527
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Country | US
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Telephone | 469-274-1277
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Fax |
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Provider Business Mailing Address
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Address Line | 1528 ESTATES WAY
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City | CARROLLTON
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State | TX
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Zip | 75006-1527
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Country | US
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Telephone | 469-274-1277
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 101992
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number | 50842
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License Number State | TX
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