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General NPI Number Information
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NPI Number | 1619355534
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Entity Type | Individual
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Provider Name | LUCY BOYCE KENNEDY M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVENUE MAIL CODE CA6-165
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 615-979-1503
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVENUE, MAIL CODE CA6-165
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-445-6390
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Fax | 216-444-9464
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 35.142461
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License Number State | OH
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