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General NPI Number Information
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NPI Number | 1508354093
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Entity Type | Individual
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Provider Name | JESSICA ARIGHI BOYD
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Gender | Female
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Dates
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Enumeration Date | 04/30/2018
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Last Update Date | 03/26/2019
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Provider Practice Location Address
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Address Line | 600 WASHINGTON ST NW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4751
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Country | US
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Telephone | 256-533-6838
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Fax | 256-533-1910
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Provider Business Mailing Address
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Address Line | 1229 NW 65TH TER
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City | KANSAS CITY
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State | MO
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Zip | 64118-2907
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S-E05-TA-B41
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License Number State | AL
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