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1093895765
EDWARD W. BOUCHARD
TAMPA, FL
NPI
1093895765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: FL ME89261)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Dr. EDWARD W. BOUCHARD M.D.
6983 E FOWLER AVE
TAMPA, FL 33617-1714
Phone number: 813-899-6226
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Mailing Address
Dr. EDWARD W. BOUCHARD M.D.
PO BOX 47509
TAMPA, FL 33647-0113
Phone number: 813-899-6226
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