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General NPI Number Information
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NPI Number | 1760444590
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Entity Type | Individual
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Provider Name | JOHN GRAHAM BOYES ANP
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 840 E MCKELLIPS RD SUITE 101
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City | MESA
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State | AZ
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Zip | 85203-9645
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Country | US
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Telephone | 480-834-7546
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Fax | 480-834-8001
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Provider Business Mailing Address
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Address Line | 840 E MCKELLIPS RD SUITE 101
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City | MESA
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State | AZ
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Zip | 85203-9645
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Country | US
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Telephone | 480-834-7546
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Fax | 480-834-8001
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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 | RNP149
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License Number State | AZ
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