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General NPI Number Information
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NPI Number | 1407027055
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Entity Type | Organization
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Legal Business Name | C BOYD ANESTHESIA SERVICES, PC
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 1838 GREENE TREE RD SUITE 180
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City | BALTIMORE
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State | MD
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Zip | 21208-6391
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Country | US
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Telephone | 410-602-7782
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Fax |
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Provider Business Mailing Address
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Address Line | 8190 TAMAR DR
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City | COLUMBIA
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State | MD
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Zip | 21045-2894
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Country | US
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Telephone | 443-629-7430
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CASSANDRA LETITIA BOYD
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Credential | CRNA
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Telephone | 410-799-5231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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