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General NPI Number Information
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NPI Number | 1376972455
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Entity Type | Individual
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Provider Name | SHEENA LOUISE BOYD M.A., LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 1520 ACOMA LN W
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-2451
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Country | US
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Telephone | 714-469-6575
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 ACOMA LN W
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-2451
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Country | US
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Telephone | 714-469-6575
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF74041
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 109664
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License Number State | CA
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