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Individual
HENRY R BOUCHER
Active
Individual
HENRY R BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0053525
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61401401
BCBS
MD
01
—
903A
CFBCBS OF MD
MD
01
—
J848
CFBCBS DC
DC
Enumeration date
06/21/2006
Last updated
10/22/2008
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