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General NPI Number Information
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NPI Number | 1538130141
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Entity Type | Individual
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Provider Name | MICHAEL C BYRNE MD
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Gender | Male
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 67 COLLETON DR
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City | CHARLESTON
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State | SC
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Zip | 29407-7302
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Country | US
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Telephone | 843-513-5916
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Fax |
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Provider Business Mailing Address
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Address Line | 1938A CHARLIE HALL BLVD.
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City | CHARLESTON
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State | SC
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Zip | 29414-6099
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Country | US
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Telephone | 843-554-9313
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Fax | 843-744-5961
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 20799
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License Number State | SC
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