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General NPI Number Information
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NPI Number | 1154868677
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Entity Type | Organization
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Legal Business Name | TONYA BOYD, PSYD
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Dates
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Enumeration Date | 01/23/2017
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 535 SE WASHINGTON ST
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City | HILLSBORO
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State | OR
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Zip | 97123-4142
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Country | US
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Telephone | 503-840-2053
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Fax |
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Provider Business Mailing Address
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Address Line | 535 SE WASHINGTON ST
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City | HILLSBORO
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State | OR
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Zip | 97123-4142
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Country | US
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Telephone | 503-840-2053
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/ OWNER
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Name | DR. TONYA BOYD
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Credential | PSYD
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Telephone | 503-840-2053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2702
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License Number State | OR
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