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General NPI Number Information
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NPI Number | 1467569368
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Entity Type | Individual
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Provider Name | ROBERT ROLAND BYERLY MD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 7901 E 22ND ST
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City | TUCSON
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State | AZ
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Zip | 85710-8509
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Country | US
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Telephone | 520-694-8400
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Fax | 520-694-9424
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Provider Business Mailing Address
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Address Line | 655 E RIVER RD
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City | TUCSON
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State | AZ
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Zip | 85704-5840
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Country | US
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Telephone | 520-694-2748
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Fax | 520-684-2369
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L6811
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 31607
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License Number State | AZ
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