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General NPI Number Information
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NPI Number | 1497714802
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Entity Type | Individual
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Provider Name | DIANE C BOYKIN MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 06/12/2021
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Provider Practice Location Address
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Address Line | 6501 BALTIMORE NATIONAL PIKE STE D
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City | CATONSVILLE
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State | MD
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Zip | 21228-3923
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Country | US
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Telephone | 667-234-8790
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Fax | 667-234-8791
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Provider Business Mailing Address
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Address Line | 12009 SHADYSTONE TER
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City | BOWIE
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State | MD
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Zip | 20721-2594
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Country | US
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Telephone | 240-305-4906
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0057865
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License Number State | MD
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