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General NPI Number Information
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NPI Number | 1992215503
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Entity Type | Organization
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Legal Business Name | SHARLA BOYD, PH.D., PLLC
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 01/24/2018
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Provider Practice Location Address
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Address Line | 6824 WAYNE AVE STE 1
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City | LUBBOCK
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State | TX
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Zip | 79424-1649
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Country | US
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Telephone | 806-414-3616
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Fax | 806-203-3297
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Provider Business Mailing Address
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Address Line | 6614 BANGOR AVE
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City | LUBBOCK
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State | TX
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Zip | 79424-1504
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Country | US
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Telephone | 806-414-3616
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHARLA BOYD
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Credential | PH.D.
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Telephone | 806-414-3616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 32168
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License Number State | TX
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