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NPI 1689693376

NPI 1689693376 : AMY P BOYD M.D. : PARIS, TN

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General NPI Number Information
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    NPI Number           |    1689693376
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    Entity Type          |    Individual 
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    Provider Name        |    AMY P BOYD M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/19/2006
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    Last Update Date     |    11/05/2007
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Provider Practice Location Address
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    Address Line         |    235 TYSON AVE 
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    City                 |    PARIS
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    State                |    TN
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    Zip                  |    38242-4544
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    Country              |    US
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    Telephone            |    731-644-3211
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    Fax                  |    731-644-1552
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Provider Business Mailing Address
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    Address Line         |    235 TYSON AVE 
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    City                 |    PARIS
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    State                |    TN
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    Zip                  |    38242-4544
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    Country              |    US
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    Telephone            |    731-644-3211
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    Fax                  |    731-644-1552
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    MD30254
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    License Number State |    TN
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