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General NPI Number Information
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NPI Number | 1922149616
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Entity Type | Individual
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Provider Name | THOMAS GREGORY BOYER MPAS, PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HILLMAN CANCER CENTER 5115 CENTRE AVE SECOND FLOOR
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City | PITTSBURGH
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State | PA
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Zip | 15232
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Country | US
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Telephone | 412-623-3403
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Fax | 412-692-4705
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Provider Business Mailing Address
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Address Line | 1108 PORTLAND ST
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City | PITTSBURGH
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State | PA
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Zip | 15206-1502
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Country | US
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Telephone | 412-441-7994
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Fax | 412-692-4705
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA003252L
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License Number State | PA
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