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General NPI Number Information
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NPI Number | 1063545317
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Entity Type | Individual
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Provider Name | MATTHEW CHRISTOPHER BYRNES MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 550 N HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67214-4910
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Country | US
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Telephone | 601-268-5650
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Fax | 601-579-5240
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Provider Business Mailing Address
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Address Line | 3817 W CORNELISON ST
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City | WICHITA
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State | KS
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Zip | 67203-1032
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Country | US
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Telephone | 601-268-5650
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Fax | 601-579-5240
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 04-30808
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 29844
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 787
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License Number State | WI
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