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General NPI Number Information
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NPI Number | 1679667471
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Entity Type | Individual
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Provider Name | LORIE LYNETTE BOYD FNP
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 602 GIRARD ST
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City | HOUSTON
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State | TX
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Zip | 77007-6218
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Country | US
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Telephone | 832-615-1219
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Fax | 713-237-1715
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Provider Business Mailing Address
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Address Line | 2525 HOLLY HALL ST
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City | HOUSTON
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State | TX
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Zip | 77054-4124
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Country | US
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Telephone | 713-566-6412
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Fax | 713-566-6519
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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 | 690509
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License Number State | TX
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