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General NPI Number Information
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NPI Number | 1891970992
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Entity Type | Organization
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Legal Business Name | LUZ E BOYER FNP, LLC
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 3685 N 100 E STE A
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City | PROVO
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State | UT
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Zip | 84604-4594
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Country | US
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Telephone | 801-623-2073
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Fax |
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Provider Business Mailing Address
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Address Line | 2545 N CANYON RD 100
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City | PROVO
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State | UT
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Zip | 84604-5911
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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 | NP
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Name | LUZ E BOYER
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Credential |
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Telephone | 801-623-2073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2789994405
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License Number State | UT
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