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General NPI Number Information
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NPI Number | 1336226448
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Entity Type | Individual
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Provider Name | J SIDNEY BOYD DDS
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 610 W SEVENTH NORTH ST
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City | MORRISTOWN
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State | TN
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Zip | 37814
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Country | US
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Telephone | 423-587-0193
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Fax | 423-586-8460
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Provider Business Mailing Address
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Address Line | 610 W SEVENTH NORTH ST
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City | MORRISTOWN
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State | TN
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Zip | 37814
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Country | US
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Telephone | 423-587-0193
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Fax | 423-586-8460
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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 | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | DS4551
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License Number State | TN
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