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General NPI Number Information
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NPI Number | 1306806070
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Entity Type | Individual
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Provider Name | ROLAND LEON BOYD DO
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Gender | Male
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Dates
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Enumeration Date | 03/25/2006
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 2124 14TH ST
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City | MERIDIAN
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State | MS
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Zip | 39301-4040
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Country | US
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Telephone | 601-553-6000
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Fax | 601-703-0124
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Provider Business Mailing Address
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Address Line | 350 N HUMPHREYS BLVD
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City | MEMPHIS
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State | TN
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Zip | 38120-2177
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Country | US
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Telephone | 901-226-4003
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Fax | 901-227-8591
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 17195
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License Number State | MS
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