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General NPI Number Information
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NPI Number | 1780853838
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Entity Type | Organization
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Legal Business Name | HARRY G. BOYE JR., M.D., PC
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 415 DEVONIA ST SUITE 302
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City | HARRIMAN
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State | TN
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Zip | 37748-2025
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Country | US
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Telephone | 865-882-8372
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Fax |
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Provider Business Mailing Address
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Address Line | 415 DEVONIA ST SUITE 302
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City | HARRIMAN
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State | TN
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Zip | 37748-2025
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Country | US
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Telephone | 865-882-8372
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HARRY G. BOYE JR.
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Credential | M.D.
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Telephone | 865-882-8372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 12248
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License Number State | TN
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