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General NPI Number Information
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NPI Number | 1558924274
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Entity Type | Individual
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Provider Name | NATHAN ALLEY-BYRD MD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2019
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | NAVY MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
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City | SAN DIEGO
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State | CA
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Zip | 92134-0001
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Country | US
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Telephone | 619-532-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 4412 44TH ST
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City | SAN DIEGO
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State | CA
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Zip | 92115-4337
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 01084351A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A181508
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License Number State | CA
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