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General NPI Number Information
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NPI Number | 1194115709
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Entity Type | Individual
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Provider Name | BYRON HO M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 201 BOSTON POST RD W STE 200&202
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City | MARLBOROUGH
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State | MA
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Zip | 01752-4667
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Country | US
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Telephone | 508-460-9613
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Fax |
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Provider Business Mailing Address
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Address Line | 201 BOSTON POST RD W STE 200&202
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City | MARLBOROUGH
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State | MA
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Zip | 01752-4667
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Country | US
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Telephone | 508-460-9613
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 282482
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License Number State | MA
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