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General NPI Number Information
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NPI Number | 1548556228
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Entity Type | Individual
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Provider Name | CELECIA BYFIELD M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1816 RICHARDSON DR
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City | REIDSVILLE
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State | NC
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Zip | 27320-5434
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Country | US
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Telephone | 336-634-3902
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Fax | 336-634-3933
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Provider Business Mailing Address
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Address Line | 55 BENNETT AVE APT 2
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City | YONKERS
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State | NY
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Zip | 10701-6379
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 265858
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License Number State | NY
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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 | 2024-02708
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License Number State | NC
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