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General NPI Number Information
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NPI Number | 1770333049
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Entity Type | Individual
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Provider Name | MISS LORI ANNE BOYD-GIBBS
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Gender | Female
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 1083 LOS PALOS DR
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City | SALINAS
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State | CA
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Zip | 93901-3916
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Country | US
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Telephone | 831-424-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 251 DONALD DR
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City | HOLLISTER
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State | CA
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Zip | 95023-6361
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Country | US
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Telephone | 408-803-0760
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 95029521
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License Number State | CA
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