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General NPI Number Information
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NPI Number | 1538077235
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Entity Type | Individual
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Provider Name | KATRINA MARIE BOYD ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 3535 E MAYO BLVD
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City | PHOENIX
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State | AZ
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Zip | 85050-4880
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Country | US
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Telephone | 602-449-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 33833 N 67TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-7245
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Country | US
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Telephone | 408-859-7257
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 100107
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License Number State | AZ
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