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General NPI Number Information
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NPI Number | 1063703411
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Entity Type | Individual
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Provider Name | KATHERINE DOUGLASS BYRD MD
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Gender | Female
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 20010 CENTURY BLVD SUITE 200
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City | GERMANTOWN
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State | MD
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Zip | 20874-1115
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Country | US
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Telephone | 240-686-2300
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Fax | 240-780-7894
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Provider Business Mailing Address
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Address Line | 522 G ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-4219
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Country | US
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Telephone | 202-309-1635
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D0079502
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License Number State | MD
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