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General NPI Number Information
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NPI Number | 1164431516
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Entity Type | Individual
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Provider Name | SUSAN JANE BOYD MD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 201 S CLEVELAND AVE FL 3
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City | HAGERSTOWN
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State | MD
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Zip | 21740-5745
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Country | US
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Telephone | 301-745-3777
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Fax | 833-450-3533
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Provider Business Mailing Address
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Address Line | 701 W PRATT ST 3RD FLR
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City | BALTIMORE
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State | MD
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Zip | 21201-1023
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Country | US
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Telephone | 410-328-2539
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Fax | 410-328-8552
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D051275
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License Number State | MD
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