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General NPI Number Information
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NPI Number | 1154713501
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Entity Type | Individual
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Provider Name | DUSTIN ANDREW BYERS
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Gender | Male
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Dates
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Enumeration Date | 02/23/2015
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 3155 AVENUE C
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City | BILLINGS
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State | MT
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Zip | 59102
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Country | US
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Telephone | 828-302-1897
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Fax |
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Provider Business Mailing Address
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Address Line | 970 HOLLY OAKS LN
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City | DANDRIDGE
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State | TN
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Zip | 37725-5343
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Country | US
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Telephone | 828-302-1897
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.0013649
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P15435
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTP-PT-LIC-9394
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | LIC-30420
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License Number State | AZ
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