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General NPI Number Information
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NPI Number | 1588007553
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Entity Type | Individual
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Provider Name | JULIA MARIE BYRD M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 3220 N MCMULLEN BOOTH RD
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City | CLEARWATER
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State | FL
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Zip | 33761-2012
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Country | US
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Telephone | 727-723-8706
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Fax |
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Provider Business Mailing Address
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Address Line | 148 13TH ST SW
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City | LARGO
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State | FL
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Zip | 33770-3127
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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 | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number | 87163
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME160619
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License Number State | FL
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