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General NPI Number Information
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NPI Number | 1356942775
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Entity Type | Individual
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Provider Name | KHALINA BOYCE
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Gender | Female
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 8000 TOWERS CRESCENT DRIVE 13TH FLOOR
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City | VIENNA
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State | VA
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Zip | 22182
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Country | US
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Telephone | 833-599-2560
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Fax |
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Provider Business Mailing Address
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Address Line | 3753 KATIE PL
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City | TRIANGLE
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State | VA
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Zip | 22172-2044
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Country | US
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Telephone |
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Fax |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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