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General NPI Number Information
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NPI Number | 1174511323
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Entity Type | Individual
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Provider Name | BILL BYRD M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 500 E STATE ROAD 434
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City | LONGWOOD
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State | FL
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Zip | 32750-5222
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Country | US
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Telephone | 407-834-4849
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Fax | 407-834-4905
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Provider Business Mailing Address
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Address Line | PO BOX 616788
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City | ORLANDO
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State | FL
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Zip | 32861-6788
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Country | US
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Telephone | 407-834-4849
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Fax | 407-834-4905
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME43323
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License Number State | FL
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