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General NPI Number Information
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NPI Number | 1407000292
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Entity Type | Organization
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Legal Business Name | BYRAM HEALTHCARE CENTERS, INC.
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Dates
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Enumeration Date | 11/06/2008
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 135 GEMINI CIR SUITE 218
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City | BIRMINGHAM
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State | AL
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Zip | 35209-5842
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Country | US
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Telephone | 205-945-7582
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Fax | 205-945-7583
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Provider Business Mailing Address
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Address Line | PO BOX 277596
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City | ATLANTA
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State | GA
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Zip | 30384-7596
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Country | US
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Telephone | 770-422-5516
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Fax | 770-590-8563
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Authorized Official
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Title or Position | CEO & PRESIDENT
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Name | PERRY A BERNOCCHI
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Credential |
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Telephone | 732-302-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 194068
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License Number State | AL
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