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General NPI Number Information
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NPI Number | 1902163793
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Entity Type | Organization
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Legal Business Name | JAMES BOYSEN, M.D., PA
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 1106 W DITTMAR RD
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City | AUSTIN
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State | TX
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Zip | 78745-6328
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Country | US
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Telephone | 512-422-5326
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Fax | 512-462-6709
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Provider Business Mailing Address
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Address Line | PO BOX 163166
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City | AUSTIN
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State | TX
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Zip | 78716-3166
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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 | PRESIDENT
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Name | JAMES BOYSEN
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Credential | M.D.
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Telephone | 512-422-5326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | G6456
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License Number State | TX
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