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General NPI Number Information
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NPI Number | 1548123284
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Entity Type | Individual
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Provider Name | JULIE ANN BYRUM
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 6307 RICHMOND RD
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City | TEXARKANA
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State | TX
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Zip | 75503-0445
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Country | US
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Telephone | 903-458-9591
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 PINE DR
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City | ATLANTA
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State | TX
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Zip | 75551-1627
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Country | US
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Telephone | 903-733-1857
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Fax |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-25-86084
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License Number State | TX
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