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General NPI Number Information
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NPI Number | 1023094091
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Entity Type | Individual
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Provider Name | AMY M BYERLY DO
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Gender | Female
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 7740 WASHINGTON VILLAGE DR STE 100
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City | CENTERVILLE
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State | OH
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Zip | 45459-3994
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Country | US
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Telephone | 379-433-4325
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Fax | 937-439-7445
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Provider Business Mailing Address
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Address Line | 7740 WASHNGTON VLG DR SUITE 100
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City | CENTERVILLE
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State | OH
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Zip | 45459-4056
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Country | US
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Telephone | 937-531-7900
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Fax | 937-531-7901
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 34007414
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License Number State | OH
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