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General NPI Number Information
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NPI Number | 1629268438
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Entity Type | Individual
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Provider Name | JASON J BOYER MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 4455 148TH AVE NE # B1
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City | BELLEVUE
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State | WA
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Zip | 98007-3120
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Country | US
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Telephone | 206-386-2600
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Fax | 206-622-1644
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Provider Business Mailing Address
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Address Line | 601 BROADWAY FL 7
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City | SEATTLE
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State | WA
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Zip | 98122-5330
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Country | US
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Telephone | 206-386-2600
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Fax | 206-622-1644
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD60078933
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License Number State | WA
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