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General NPI Number Information
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NPI Number | 1063534089
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Entity Type | Individual
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Provider Name | LORI JEAN BOYD P.T.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4601 HARTFORD ST
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City | ABILENE
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State | TX
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Zip | 79605-4603
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Country | US
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Telephone | 325-793-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 2232 AVENUE L
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City | ANSON
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State | TX
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Zip | 79501-7022
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Country | US
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Telephone | 325-823-3223
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 186759
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License Number State | TX
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