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General NPI Number Information
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NPI Number | 1023297256
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Entity Type | Organization
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Legal Business Name | EILEEN BYRD, DPM PC
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 12/23/2010
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Provider Practice Location Address
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Address Line | 1136 CLEVELAND AVE SUITE 305
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City | EAST POINT
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State | GA
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Zip | 30344-3618
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Country | US
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Telephone | 404-762-9221
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Fax | 404-762-9223
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Provider Business Mailing Address
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Address Line | 1136 CLEVELAND AVE SUITE 305
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City | EAST POINT
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State | GA
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Zip | 30344-3618
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Country | US
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Telephone | 404-762-9221
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Fax | 404-762-9223
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Authorized Official
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Title or Position | OWNER
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Name | EILEEN BYRD
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Credential |
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Telephone | 678-860-9862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | POD000786
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License Number State | GA
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