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General NPI Number Information
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NPI Number | 1215573217
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Entity Type | Organization
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Legal Business Name | BYERLY ENTERPRISES, LLC
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 11/25/2019
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Provider Practice Location Address
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Address Line | 8616 HIDDEN ACRE CT
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City | CLARKSTON
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State | MI
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Zip | 48348-2895
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Country | US
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Telephone | 248-241-6507
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Fax | 248-686-3415
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Provider Business Mailing Address
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Address Line | 8616 HIDDEN ACRE CT
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City | CLARKSTON
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State | MI
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Zip | 48348-2895
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Country | US
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Telephone | 248-241-6507
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Fax | 248-686-3415
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Authorized Official
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Title or Position | CFO
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Name | DR. CARL W BYERLY
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Credential |
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Telephone | 810-691-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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