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General NPI Number Information
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NPI Number | 1932185147
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Entity Type | Individual
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Provider Name | STEVEN BOYD PA-C
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Gender | Male
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1204 E FIRE TOWER RD FIRETOWER MEDICAL OFFICE
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City | GREENVILLE
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State | NC
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Zip | 27858-6179
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Country | US
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Telephone | 252-744-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 1202 CATALPA RD
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City | GREENVILLE
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State | NC
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Zip | 27858-7110
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Country | US
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Telephone | 252-355-0954
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 101358
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License Number State | NC
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