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General NPI Number Information
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NPI Number | 1396993432
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Entity Type | Individual
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Provider Name | JUDITH LYNETTE BOICE N.D., L.AC.
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Gender | Female
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | 66 SW 4TH ST
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City | MADRAS
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State | OR
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Zip | 97741-1427
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Country | US
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Telephone | 541-475-5525
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Fax | 541-475-5525
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Provider Business Mailing Address
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Address Line | 846 SW BEAVER LN
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City | MADRAS
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State | OR
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Zip | 97741-9303
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Country | US
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Telephone | 541-475-5525
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Fax | 541-475-2131
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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 | 711
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC00332
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 821
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License Number State | OR
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