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General NPI Number Information
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NPI Number | 1205341476
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Entity Type | Individual
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Provider Name | JULIE A BOYDEN CADC
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Gender | Female
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 145 BOST AVE
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City | NEVADA CITY
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State | CA
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Zip | 95959
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Country | US
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Telephone | 530-273-9541
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Fax | 530-271-7036
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Provider Business Mailing Address
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Address Line | 159 BRENTWOOD DR
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City | GRASS VALLEY
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State | CA
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Zip | 95945-5703
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Country | US
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Telephone | 530-271-1140
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CI30140720
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A061360522
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License Number State | CA
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