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General NPI Number Information
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NPI Number | 1225380892
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Entity Type | Individual
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Provider Name | AMY GENIEL BOYCE PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/08/2012
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 14742 442ND AVE SE
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City | NORTH BEND
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State | WA
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Zip | 98045-9786
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Country | US
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Telephone | 425-765-1147
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Fax |
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Provider Business Mailing Address
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Address Line | 1428 W. SUMMERDALE AVE.
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City | CHICAGO
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State | IL
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Zip | 60640
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | PA60672606
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License Number State | WA
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