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General NPI Number Information
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NPI Number | 1235117185
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Entity Type | Individual
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Provider Name | JILL LAURAN BYERS M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/02/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 289 IRELAND AVE IRELAND ARMY COMMUNITY HOSPITAL
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City | FORT KNOX
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State | KY
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Zip | 40121-5111
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Country | US
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Telephone | 502-624-0460
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Fax | 502-624-0261
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Provider Business Mailing Address
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Address Line | 289 IRELAND AVE IRELAND ARMY COMMUNITY HOSPITAL
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City | FORT KNOX
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State | KY
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Zip | 40121-5111
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Country | US
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Telephone | 502-624-0460
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Fax | 502-624-0261
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35975
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License Number State | KY
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