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General NPI Number Information
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NPI Number | 1639436710
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Entity Type | Organization
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Legal Business Name | DR GEORGE B BOYD III DO PLLC
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 04/13/2012
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Provider Practice Location Address
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Address Line | 7838 BARLITE BLVD
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1364
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Country | US
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Telephone | 210-932-9729
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Fax | 210-855-0522
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Provider Business Mailing Address
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Address Line | 7838 BARLITE BLVD
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1364
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Country | US
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Telephone | 210-932-9729
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Fax | 210-855-0522
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Authorized Official
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Title or Position | PRESIDENT SOLE OWNER OF PLLC
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Name | GEORGE B BOYD III
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Credential | D.O.
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Telephone | 210-932-9729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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