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General NPI Number Information
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NPI Number | 1124035779
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Entity Type | Individual
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Provider Name | LAWRENCE P. BOYLE JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 130 MEDICAL CENTER PKWY # 9
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City | HUNTSVILLE
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State | TX
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Zip | 77340-4942
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Country | US
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Telephone | 936-291-7773
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Fax | 936-291-7481
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Provider Business Mailing Address
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Address Line | 130 MEDICAL CENTER PARKWAY # 9
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City | HUNTSVILLE
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State | TX
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Zip | 77340
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Country | US
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Telephone | 936-291-7773
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Fax | 936-291-7481
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | H1556
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License Number State | TX
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