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General NPI Number Information
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NPI Number | 1477824126
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Entity Type | Individual
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Provider Name | JEREMY TAYLOR BOYD NP
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Gender | Male
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 03/13/2021
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Provider Practice Location Address
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Address Line | 1901 SW 172ND AVE
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City | MIRAMAR
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State | FL
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Zip | 33029-5592
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Country | US
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Telephone | 954-538-5101
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Fax |
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Provider Business Mailing Address
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Address Line | 10843 LIMEBERRY DR
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City | HOLLYWOOD
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State | FL
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Zip | 33026-4758
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Country | US
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Telephone | 305-301-1218
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 783713
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License Number State | TX
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