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General NPI Number Information
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NPI Number | 1598319584
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Entity Type | Individual
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Provider Name | SYLVESTER BOYD II DPT
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Gender | Male
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 713-791-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 2630 BISSONNET ST APT 4344
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City | HOUSTON
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State | TX
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Zip | 77005-1578
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Country | US
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Telephone | 731-431-0513
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 1312217
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License Number State | TX
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