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General NPI Number Information
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NPI Number | 1184906927
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Entity Type | Individual
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Provider Name | TARA JOY BOYLE PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/19/2011
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | 1217 22ND ST NW
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City | WASHINGTON
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State | DC
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Zip | 20037-1203
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Country | US
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Telephone | 202-776-9084
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Fax | 202-776-0969
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Provider Business Mailing Address
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Address Line | 1217 22ND ST NW
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City | WASHINGTON
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State | DC
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Zip | 20037-1203
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Country | US
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Telephone | 202-776-9084
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Fax | 202-776-0969
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202209988
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH100000875
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP445232
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License Number State | PA
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