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General NPI Number Information
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NPI Number | 1114208279
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Entity Type | Organization
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Legal Business Name | BYRO CONSULTING LLC
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Dates
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Enumeration Date | 09/02/2011
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 3101 OLD HWY 8, SUITE 107
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City | ROSEVILLE
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State | MN
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Zip | 55113-9998
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Country | US
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Telephone | 612-396-3762
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Fax | 612-395-5266
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Provider Business Mailing Address
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Address Line | 3101 OLD HWY 8, SUITE 107
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City | ROSEVILLE
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State | MN
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Zip | 55113-9998
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Country | US
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Telephone | 612-396-3762
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Fax | 612-395-5266
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Authorized Official
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Title or Position | CHIEF MANAGER
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Name | MOHAMED AHMED ABDULLE
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Credential |
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Telephone | 612-396-3762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 376171
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License Number State | MN
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