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General NPI Number Information
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NPI Number | 1144561937
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Entity Type | Individual
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Provider Name | KRISTIN L BOYLAN DPT
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Gender | Female
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 3700 ULMERTON RD STE 204
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City | CLEARWATER
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State | FL
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Zip | 33762-4235
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Country | US
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Telephone | 727-490-8262
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Fax | 727-324-6595
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Provider Business Mailing Address
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Address Line | 3700 ULMERTON RD STE 204
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City | CLEARWATER
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State | FL
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Zip | 33762-4235
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Country | US
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Telephone | 727-490-8262
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Fax | 727-324-6595
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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 | 070-019744
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License Number State | IL
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