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General NPI Number Information
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NPI Number | 1891222063
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Entity Type | Individual
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Provider Name | STEPHANIE PAULA BOYD PT
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Gender | Female
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Dates
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Enumeration Date | 05/17/2017
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Last Update Date | 05/17/2017
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Provider Practice Location Address
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Address Line | 2301 CAMINO RAMON STE 160
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City | SAN RAMON
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State | CA
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Zip | 94583-2031
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Country | US
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Telephone | 925-355-1900
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Fax | 925-355-1903
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Provider Business Mailing Address
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Address Line | 603 LITTLE LN
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2178
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Country | US
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Telephone | 925-849-6395
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 28887
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License Number State | CA
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