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General NPI Number Information
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NPI Number | 1164633756
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Entity Type | Individual
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Provider Name | ROBERT CLARK BOYLE PSY.D
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 429 REDCLIFF DR SUITE 225
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City | REDDING
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State | CA
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Zip | 96002-0167
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Country | US
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Telephone | 530-524-4036
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Fax | 866-576-5971
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Provider Business Mailing Address
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Address Line | PO BOX 991826
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City | REDDING
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State | CA
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Zip | 96099-1826
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Country | US
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Telephone | 530-244-5833
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Fax | 866-647-3121
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY119900
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License Number State | CA
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