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General NPI Number Information
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NPI Number | 1235204686
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Entity Type | Organization
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Legal Business Name | DR WILLIAM N BYRKIT JR PC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 05/21/2009
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Provider Practice Location Address
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Address Line | 1280 VANDALIA ST
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City | COLLINSVILLE
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State | IL
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Zip | 62234-4024
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Country | US
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Telephone | 618-344-2501
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Fax | 618-344-2502
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Provider Business Mailing Address
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Address Line | 1280 VANDALIA STREET
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City | COLLINSVILLE
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State | IL
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Zip | 62234
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Country | US
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Telephone | 618-344-2501
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Fax | 618-344-2554
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. WILLIAM NATHANIEL BYRKIT JR.
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Credential | DC
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Telephone | 618-344-2501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038003310
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License Number State | IL
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