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General NPI Number Information
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NPI Number | 1831483130
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Entity Type | Individual
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Provider Name | THOMAS S BOSWELL MD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2011
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 1321 UPLAND DR STE 9024
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City | HOUSTON
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State | TX
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Zip | 77043-4718
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Country | US
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Telephone | 405-877-2137
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Fax |
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Provider Business Mailing Address
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Address Line | 1321 UPLAND DR STE 9024
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City | HOUSTON
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State | TX
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Zip | 77043-4718
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28338
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | U1800
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License Number State | TX
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