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General NPI Number Information
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NPI Number | 1366563785
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Entity Type | Individual
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Provider Name | CHRISTINA LOUISE BOULTON M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 707 N. ALVERNON WAY 2ND FLOOR
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City | TUSCON
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State | AZ
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Zip | 85711
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Country | US
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Telephone | 520-694-8000
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Fax | 520-694-8005
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Provider Business Mailing Address
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Address Line | P.O. BOX 245064
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City | TUSCON
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State | AZ
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Zip | 85724-5064
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Country | US
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Telephone | 520-626-9245
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Fax | 520-626-2668
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | L-224770
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | D72644
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | D72644
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 51815
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License Number State | AZ
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