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General NPI Number Information
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NPI Number | 1366739146
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Entity Type | Individual
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Provider Name | WILLIAM DAVID BOYLAN LIC.AC.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 06/30/2011
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Provider Practice Location Address
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Address Line | 400 BEDFORD ST # 104
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City | MANCHESTER
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State | NH
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Zip | 03101-1195
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Country | US
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Telephone | 603-669-0808
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Fax |
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Provider Business Mailing Address
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Address Line | 1 TIMBERWOOD DR UNIT 206
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City | GOFFSTOWN
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State | NH
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Zip | 03045-2560
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Country | US
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Telephone | 603-669-0808
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACP 182
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License Number State | NH
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