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General NPI Number Information
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NPI Number | 1699342154
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Entity Type | Individual
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Provider Name | EMMA BOYD BCO
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Gender | Female
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 209 E BESSEMER AVE
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City | GREENSBORO
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State | NC
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Zip | 27401-1415
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Country | US
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Telephone | 336-266-5051
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Fax |
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Provider Business Mailing Address
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Address Line | 613 N GURNEY ST
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City | BURLINGTON
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State | NC
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Zip | 27215-4526
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Country | US
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Telephone | 336-266-5051
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Fax |
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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 | 156FX1700X
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Taxonomy Name | Ocularist
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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