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General NPI Number Information
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NPI Number | 1508259334
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Entity Type | Individual
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Provider Name | BYRON BLACKWELL MPT
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Gender | Male
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 1202 SUNSET DR
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City | BOGALUSA
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State | LA
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Zip | 70427-8710
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Country | US
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Telephone | 985-735-1426
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Fax | 985-735-1428
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Provider Business Mailing Address
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Address Line | 1202 SUNSET DR
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City | BOGALUSA
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State | LA
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Zip | 70427-8710
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Country | US
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Telephone | 985-735-1426
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Fax | 985-735-1428
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT07163R
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License Number State | LA
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