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NPI 1962747089

NPI 1962747089 : BOYD & BOYD P C : ANNAPOLIS, MD

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General NPI Number Information
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    NPI Number           |    1962747089
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    Entity Type          |    Organization 
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    Legal Business Name  |    BOYD & BOYD P C 
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Dates
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    Enumeration Date     |    11/29/2012
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    Last Update Date     |    12/28/2012
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Provider Practice Location Address
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    Address Line         |    914 BAY RIDGE RD 
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    City                 |    ANNAPOLIS
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    State                |    MD
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    Zip                  |    21403-3999
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    Country              |    US
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    Telephone            |    410-426-1797
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    914 BAY RIDGE RD 
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    City                 |    ANNAPOLIS
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    State                |    MD
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    Zip                  |    21403-3999
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    Country              |    US
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    Telephone            |    410-426-1797
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT / OWNER
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    Name                 |     ANTHONY L. BOYD 
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    Credential           |    D.D.S.
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    Telephone            |    410-626-1797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    8580
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    License Number State |    MD
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