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General NPI Number Information
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NPI Number | 1104856384
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Entity Type | Individual
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Provider Name | CHRISTINE F BYRER CFNP
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 1673 N ROYAL ST
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City | JACKSON
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State | TN
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Zip | 38301-3607
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Country | US
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Telephone | 731-265-1997
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Fax | 731-265-0511
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Provider Business Mailing Address
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Address Line | 1673 N ROYAL ST
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City | JACKSON
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State | TN
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Zip | 38301-3607
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Country | US
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Telephone | 731-265-1997
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Fax | 731-265-0511
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN95319
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN6810
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License Number State | TN
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