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General NPI Number Information
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NPI Number | 1437499555
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Entity Type | Individual
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Provider Name | JENNIFER K BOYER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/26/2013
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 502 MADISON OAK DR
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City | SAN ANTONIO
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State | TX
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Zip | 78258
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Country | US
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Telephone | 210-297-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 22023 KENTON KNL
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7848
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Country | US
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Telephone | 210-760-3432
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 056010040
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 117028
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License Number State | TX
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