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General NPI Number Information
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NPI Number | 1801985833
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Entity Type | Individual
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Provider Name | HOLLY M BOYER MD
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 01/26/2016
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Provider Practice Location Address
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Address Line | 900 W NIFONG STE 101 STE 104
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City | COLUMBIA
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State | MO
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Zip | 65203
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Country | US
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Telephone | 573-499-9009
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Fax | 573-499-4400
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Provider Business Mailing Address
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Address Line | 670 MASON RIDGE CENTER DR STE 300
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8573
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Country | US
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Telephone | 573-499-9009
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Fax | 573-499-4400
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 115336
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License Number State | MO
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