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General NPI Number Information
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NPI Number | 1861760746
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Entity Type | Individual
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Provider Name | EVELYN PHIPPS BOYER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 4424 MONTGOMERY AVE SUITE 200
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City | BETHESDA
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State | MD
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Zip | 20814-4409
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Country | US
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Telephone | 202-489-8142
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Fax | 202-237-0528
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Provider Business Mailing Address
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Address Line | 4812 32ND ST NW
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City | WASHINGTON
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State | DC
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Zip | 20008-2226
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Country | US
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Telephone | 202-237-0528
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Fax | 202-537-1273
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 01975
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 01975
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License Number State | MD
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