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General NPI Number Information
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NPI Number | 1578011441
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Entity Type | Individual
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Provider Name | JUSTIN BYRD DPT
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Gender | Male
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 1794 S BETHEL RD STE C
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City | DECATUR
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State | AL
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Zip | 35603-5410
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Country | US
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Telephone | 256-274-6582
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Fax | 256-274-0019
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Provider Business Mailing Address
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Address Line | 8 OXFORD LN
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City | DECATUR
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State | AL
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Zip | 35603-6249
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Country | US
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Telephone | 251-944-7364
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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