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General NPI Number Information
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NPI Number | 1063581262
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Entity Type | Individual
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Provider Name | LORIN DEBORA BOYNTON MD
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 07/27/2024
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Provider Practice Location Address
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Address Line | 19041 FRONT ST NE
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City | POULSBO
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State | WA
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Zip | 98370-7354
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Country | US
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Telephone | 206-485-0342
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Fax | 206-970-5760
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Provider Business Mailing Address
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Address Line | 325 9TH AVE # 359911
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City | SEATTLE
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State | WA
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Zip | 98104-2420
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Country | US
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Telephone | 206-485-0342
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Fax | 206-970-5760
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | MD00035193
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD218357
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD00025209
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 00035193
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License Number State | WA
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