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General NPI Number Information
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NPI Number | 1831395490
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Entity Type | Individual
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Provider Name | KAREN LOUSIE BOYSUN P.T.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | 3155 AVENUE C
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City | BILLINGS
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State | MT
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Zip | 59102-8109
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Country | US
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Telephone | 406-565-8818
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Fax |
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Provider Business Mailing Address
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Address Line | 508 N F ST
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City | ABERDEEN
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State | WA
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Zip | 98520-2630
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Country | US
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Telephone | 360-532-6515
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Fax | 360-593-0927
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT00008826
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1340
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License Number State | MT
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