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General NPI Number Information
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NPI Number | 1598160996
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Entity Type | Organization
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Legal Business Name | WENDY S. BOYAR,M.D.
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Dates
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Enumeration Date | 10/28/2014
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Last Update Date | 10/28/2014
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Provider Practice Location Address
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Address Line | 3700 ISLAND BLVD C206
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City | AVENTURA
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State | FL
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Zip | 33160-4952
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Country | US
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Telephone | 305-308-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 ISLAND BLVD C206
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City | AVENTURA
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State | FL
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Zip | 33160-4952
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Country | US
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Telephone | 305-308-6727
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. WENDY SUE BOYAR
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Credential | M.D.
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Telephone | 305-308-6727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME 45162
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License Number State | FL
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