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General NPI Number Information
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NPI Number | 1972744878
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Entity Type | Individual
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Provider Name | DARYA REBECCA BOLAND N.D.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 12/06/2015
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Provider Practice Location Address
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Address Line | 1020 PINE ST
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City | PASO ROBLES
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State | CA
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Zip | 93446-2520
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Country | US
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Telephone | 805-226-5190
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Fax | 805-226-5191
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Provider Business Mailing Address
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Address Line | 1020 PINE ST
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City | PASO ROBLES
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State | CA
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Zip | 93446-2520
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Country | US
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Telephone | 805-226-5190
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Fax | 805-226-5191
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND177
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License Number State | CA
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