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General NPI Number Information
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NPI Number | 1558540351
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Entity Type | Organization
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Legal Business Name | JAMES K BYRD III MD PC
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 420 LOWELL DR SE STE 300
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3762
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Country | US
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Telephone | 256-535-5972
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Fax | 256-535-5954
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Provider Business Mailing Address
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Address Line | 420 LOWELL DR SE STE 103
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3755
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Country | US
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Telephone | 256-535-5940
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Fax | 256-535-5954
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES K BYRD III
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Credential | MD
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Telephone | 256-535-5972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 00026682
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License Number State | AL
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