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General NPI Number Information
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NPI Number | 1316136351
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Entity Type | Individual
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Provider Name | AMANDA BETH BYERS PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 2 BURNETT COURT
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City | DURANGO
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State | CO
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Zip | 81301-3647
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Country | US
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Telephone | 970-385-4022
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Fax | 970-385-4337
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Provider Business Mailing Address
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Address Line | 2 BURNETT COURT
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City | DURANGO
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State | CO
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Zip | 81301-3647
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Country | US
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Telephone | 970-385-4022
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Fax | 970-385-4337
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | PA05445
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA05445
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA0004582
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License Number State | CO
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