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General NPI Number Information
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NPI Number | 1265624449
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Entity Type | Individual
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Provider Name | TODD M BOYCE OT-C
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Gender | Male
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 06/30/2009
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Provider Practice Location Address
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Address Line | 6545 FRANCE AVE S SUITE 160
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City | EDINA
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State | MN
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Zip | 55435-2131
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Country | US
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Telephone | 952-835-0750
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Fax | 952-835-0662
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Provider Business Mailing Address
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Address Line | 701 25TH AVE S SUITE 505
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City | MINNEAPOLIS
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State | MN
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Zip | 55454-1513
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Country | US
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Telephone | 612-455-2013
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Fax | 612-455-2045
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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 | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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