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General NPI Number Information
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NPI Number | 1538788179
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Entity Type | Individual
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Provider Name | ERIN NICOLE BOYCE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/14/2020
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Last Update Date | 04/14/2020
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Provider Practice Location Address
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Address Line | 684 GRAYSON PKWY
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City | GRAYSON
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State | GA
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Zip | 30017-1211
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Country | US
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Telephone | 678-480-5654
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Fax |
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Provider Business Mailing Address
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Address Line | 415 ARMOUR DR NE APT 11405
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City | ATLANTA
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State | GA
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Zip | 30324-3965
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Country | US
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Telephone | 267-229-4400
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT007593
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License Number State | GA
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