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General NPI Number Information
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NPI Number | 1700436102
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Entity Type | Individual
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Provider Name | SHAWN CHRISTOPHER BOYKIN
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Gender | Male
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Dates
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Enumeration Date | 09/17/2019
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 11303 WILSHIRE BLVD BLDG 116
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City | LOS ANGELES
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State | CA
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Zip | 90025-5069
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Country | US
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Telephone | 310-914-4045
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Fax |
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Provider Business Mailing Address
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Address Line | 4335 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90807-2803
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Country | US
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Telephone | 562-218-4900
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 349046
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License Number State | CA
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