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General NPI Number Information
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NPI Number | 1134204894
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Entity Type | Organization
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Legal Business Name | BOYD LAWRENCE DEMCHYNA INC.
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 26107 HARPER AVE
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48081-2201
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Country | US
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Telephone | 586-778-2887
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Fax | 586-778-6136
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Provider Business Mailing Address
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Address Line | 26107 HARPER AVE
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48081-2201
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Country | US
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Telephone | 586-778-2887
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Fax | 586-778-6136
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Authorized Official
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Title or Position | OWNER
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Name | MR. BOYD L DEMCHYNA
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Credential | BCHIS ACA
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Telephone | 586-778-2887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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