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General NPI Number Information
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NPI Number | 1558470757
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Entity Type | Individual
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Provider Name | ROBERT JON BOYLE
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4869 TOPANGA CANYON BLVD SUITE 6
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-4255
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Country | US
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Telephone | 818-346-5186
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Fax | 818-883-9752
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Provider Business Mailing Address
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Address Line | 20751 DUMONT ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-3402
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Country | US
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Telephone | 818-346-5186
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Fax | 818-883-9752
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS11825
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License Number State | CA
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