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General NPI Number Information
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NPI Number | 1578573887
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Entity Type | Individual
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Provider Name | REBECCA ANN BOYD DO
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Gender | Female
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 04/28/2011
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Provider Practice Location Address
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Address Line | 140 MAYFAIR RD SUITE 1500
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City | HATTIESBURG
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State | MS
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Zip | 39402-1699
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Country | US
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Telephone | 601-450-2077
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Fax | 601-450-2079
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Provider Business Mailing Address
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Address Line | 140 MAYFAIR RD SUITE 1500
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City | HATTIESBURG
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State | MS
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Zip | 39402-1699
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Country | US
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Telephone | 601-450-2077
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Fax | 601-450-2079
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 19363
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License Number State | MS
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