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General NPI Number Information
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NPI Number | 1669209011
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Entity Type | Individual
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Provider Name | ELANA RUTHANN BOYSON NP
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Gender | Female
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2400 E CAPITOL DR
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City | APPLETON
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State | WI
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Zip | 54911-8728
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Country | US
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Telephone | 920-454-3300
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Fax | 920-729-3328
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Provider Business Mailing Address
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Address Line | 3 NEENAH CTR
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City | NEENAH
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State | WI
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Zip | 54956-3070
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Country | US
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Telephone | 920-830-5900
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Fax | 920-830-5910
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 15915-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1591533
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License Number State | WI
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