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General NPI Number Information
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NPI Number | 1538690375
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Entity Type | Individual
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Provider Name | TARYN ELIZABETH LEROY MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 125 PARKER HILL AVENUE CONVERSE 4
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City | BOSTON
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State | MA
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Zip | 02120
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Country | US
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Telephone | 617-754-6055
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Fax | 617-754-5938
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Provider Business Mailing Address
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Address Line | 125 PARKER HILL AVE
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City | BOSTON
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State | MA
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Zip | 02120-2847
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Country | US
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Telephone | 617-754-6055
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Fax | 617-754-5938
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 2022010795
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License Number State | MO
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