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General NPI Number Information
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NPI Number | 1619431723
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Entity Type | Organization
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Legal Business Name | L & J BOYD ENTERPRISES, LLC
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 390 NUMBER NINE ROAD
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City | FAIRVIEW
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State | NC
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Zip | 28730
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Country | US
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Telephone | 828-779-2891
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Fax | 828-628-2891
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Provider Business Mailing Address
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Address Line | 390 NUMBER NINE ROAD
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City | FAIRVIEW
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State | NC
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Zip | 28730
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Country | US
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Telephone | 828-779-2891
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Fax | 828-628-2891
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Authorized Official
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Title or Position | LICENSED OPTICIAN
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Name | MR. AUSTIN LYLE BOYD
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Credential |
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Telephone | 828-779-2891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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