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General NPI Number Information
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NPI Number | 1952500381
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Entity Type | Individual
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Provider Name | THOMAS A BOYD P.T.
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Gender | Male
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 1150 HAMMOND DR NE STE B2100
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City | ATLANTA
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State | GA
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Zip | 30328-5561
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Country | US
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Telephone | 770-673-0093
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Fax |
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Provider Business Mailing Address
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Address Line | 2349 HENDERSON MILL RD NE APT 1
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City | ATLANTA
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State | GA
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Zip | 30345-2707
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Country | US
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Telephone | 770-491-8925
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 009140
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License Number State | GA
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