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General NPI Number Information
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NPI Number | 1285817577
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Entity Type | Individual
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Provider Name | DEVIN A BYRD PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 12/10/2007
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Provider Practice Location Address
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Address Line | 936 YOUNG WAY
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City | RICHMOND HILL
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State | GA
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Zip | 31324-7241
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Country | US
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Telephone | 912-247-8678
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Fax |
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Provider Business Mailing Address
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Address Line | 23 PLANTATION PARK DR BUILDING 400
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City | BLUFFTON
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State | SC
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Zip | 29910-6038
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Country | US
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Telephone | 912-247-8678
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 000873
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License Number State | SC
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