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General NPI Number Information
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NPI Number | 1518276617
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Entity Type | Organization
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Legal Business Name | JOY R. BOYNE MD PA
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 6869 BELFORT OAKS PL
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6242
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Country | US
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Telephone | 904-281-1988
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Fax | 904-281-0852
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Provider Business Mailing Address
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Address Line | 6869 BELFORT OAKS PL
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6242
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Country | US
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Telephone | 904-281-1988
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Fax | 904-281-0852
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOY BOYNE
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Credential |
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Telephone | 904-281-1988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME51530
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License Number State | FL
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