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General NPI Number Information
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NPI Number | 1942403753
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Entity Type | Individual
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Provider Name | MR. REGINALD BOYER
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Gender | Male
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4716 3RD ST.
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City | SAN FRANCISCI
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State | CA
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Zip | 94124
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Country | US
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Telephone | 415-401-0199
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Fax | 415-401-0175
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Provider Business Mailing Address
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Address Line | 4716 3RD ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94124-2307
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Country | US
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Telephone | 415-401-0199
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Fax | 415-401-0175
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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