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General NPI Number Information
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NPI Number | 1083987275
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Entity Type | Individual
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Provider Name | WILLIAM JAMER BOYD JR. D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/17/2012
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | CFCF 8301 STATE RD
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City | PHILADELPHIA
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State | PA
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Zip | 19136
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Country | US
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Telephone | 215-685-7946
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Fax | 609-599-4128
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Provider Business Mailing Address
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Address Line | 537 REVERE RD
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City | MERION STATION
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State | PA
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Zip | 19066
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Country | US
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Telephone | 610-664-5039
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 05026108L
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License Number State | PA
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