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General NPI Number Information
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NPI Number | 1467953000
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Entity Type | Individual
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Provider Name | MONICA JEANNE BOYER MHS, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 175 MAYFIELD DR
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City | BOYDTON
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State | VA
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Zip | 23917-2817
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Country | US
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Telephone | 434-447-7613
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Fax |
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Provider Business Mailing Address
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Address Line | 175 MAYFIELD DRIVE PO BOX 196
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City | BASKERVILLE
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State | VA
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Zip | 23917
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Country | US
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Telephone | 434-738-6111
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | LAT-4228
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0126002983
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License Number State | VA
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