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General NPI Number Information
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NPI Number | 1326259607
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Entity Type | Individual
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Provider Name | STEPHEN JOSEPH BOYD PHD,LPCC,LMFT,NCP
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Gender | Male
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 04/27/2014
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Provider Practice Location Address
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Address Line | 4030 MOUNT CARMEL TOBASCO RD SUITE 326
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City | CINCINNATI
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State | OH
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Zip | 45255-3400
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Country | US
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Telephone | 513-528-3838
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 54425
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City | CINCINNATI
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State | OH
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Zip | 45254-0425
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Country | US
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Telephone | 513-231-9863
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Fax | 513-231-8227
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | #0434
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | #1173
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | #0001744
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License Number State | OH
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