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General NPI Number Information
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NPI Number | 1528431590
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Entity Type | Individual
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Provider Name | DAMIEN BOYD
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Gender | Male
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 3018 OLD MINDEN RD STE 1200
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City | BOSSIER CITY
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State | LA
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Zip | 71112-2476
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Country | US
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Telephone | 318-658-9927
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Fax |
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Provider Business Mailing Address
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Address Line | 3018 OLD MINDEN RD STE 1200
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City | BOSSIER CITY
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State | LA
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Zip | 71112-2476
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Country | US
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Telephone | 318-658-9927
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9139
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License Number State | LA
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