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General NPI Number Information
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NPI Number | 1396744488
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Entity Type | Individual
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Provider Name | GREGORY S BYRD M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 759 S MAIN ST STE. 300
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City | WOODSTOCK
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State | VA
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Zip | 22664-1127
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Country | US
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Telephone | 540-459-1540
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Fax | 540-459-1486
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Provider Business Mailing Address
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Address Line | 220 CAMPUS BLVD STE 200
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City | WINCHESTER
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State | VA
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Zip | 22601-2889
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Country | US
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Telephone | 540-536-5100
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Fax | 540-536-0235
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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 | 0101052702
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License Number State | VA
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