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General NPI Number Information
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NPI Number | 1881017622
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Entity Type | Individual
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Provider Name | NANCY BOYER TEACHER OF THE SPEEC
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Gender | Female
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Dates
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Enumeration Date | 01/30/2014
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Last Update Date | 01/30/2014
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Provider Practice Location Address
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Address Line | 758 COUNTY ROUTE 7
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City | BRUSHTON
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State | NY
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Zip | 12916-3916
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Country | US
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Telephone | 518-529-7324
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 28 23 HUSKIE LANE
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City | MALONE
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State | NY
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Zip | 12953-0028
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 219586881
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License Number State | NY
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