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General NPI Number Information
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NPI Number | 1235156175
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Entity Type | Individual
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Provider Name | DENNIS BOYSEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 900 COOPER AVE SUITE 4400
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City | SAGINAW
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State | MI
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Zip | 48602-5182
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Country | US
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Telephone | 989-583-4401
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Fax | 989-583-4409
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Provider Business Mailing Address
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Address Line | 1447 N HARRISON ST
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City | SAGINAW
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State | MI
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Zip | 48602-4727
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Country | US
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Telephone | 989-583-4401
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Fax | 989-583-4409
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301038980
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License Number State | MI
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