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General NPI Number Information
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NPI Number | 1184497828
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Entity Type | Individual
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Provider Name | KYLIE JULES BOYLE NP
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Gender | Female
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Dates
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Enumeration Date | 11/03/2023
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Last Update Date | 11/16/2025
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Provider Practice Location Address
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Address Line | 300 PARKBROOKE PL STE 170
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City | WOODSTOCK
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State | GA
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Zip | 30189-7280
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Country | US
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Telephone | 770-284-3150
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Fax |
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Provider Business Mailing Address
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Address Line | 325 E PACES FERRY RD NE APT 1911
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City | ATLANTA
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State | GA
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Zip | 30305-5707
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Country | US
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Telephone | 336-870-6258
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP302817
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License Number State | GA
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