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General NPI Number Information
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NPI Number | 1194280222
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Entity Type | Organization
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Legal Business Name | BYARS HOLDING PLLC
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Dates
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Enumeration Date | 02/03/2019
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Last Update Date | 02/03/2019
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Provider Practice Location Address
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Address Line | 3140 S FALKENBURG RD STE 204
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City | RIVERVIEW
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State | FL
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Zip | 33578-2594
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Country | US
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Telephone | 813-906-0001
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Fax | 813-906-0163
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Provider Business Mailing Address
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Address Line | 13406 GOLDFINCH DR
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-8276
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Country | US
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Telephone | 586-909-1319
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Fax |
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Authorized Official
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Title or Position | OWNER/ DENTIST
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Name | DR. MATTHEW CARL BYARS
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Credential | DDS
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Telephone | 586-909-1319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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