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General NPI Number Information
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NPI Number | 1649374067
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Entity Type | Individual
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Provider Name | DANIEL BOYD DMD
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Gender | Male
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 1839 CENTRAL AVE
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City | AUGUSTA
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State | GA
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Zip | 30904-5734
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Country | US
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Telephone | 706-736-1442
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Fax | 706-736-1405
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Provider Business Mailing Address
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Address Line | 809 OAKHURST DR B
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City | EVANS
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State | GA
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Zip | 30809-3714
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Country | US
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Telephone | 706-869-8949
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Fax | 706-869-8948
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN013141
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License Number State | GA
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