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General NPI Number Information
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NPI Number | 1245559996
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Entity Type | Individual
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Provider Name | CYNTHIA ANN BYRD M.A.-O.T.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2010
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 810 N. 29TH ST.
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City | MONROE
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State | LA
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Zip | 71201
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Country | US
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Telephone | 318-323-1223
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Fax | 318-323-1224
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Provider Business Mailing Address
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Address Line | 810 N 29TH ST
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City | MONROE
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State | LA
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Zip | 71201
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Country | US
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Telephone | 318-323-1223
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Fax | 318-323-1224
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTT.Z12009
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTTZ12009
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License Number State |
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