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General NPI Number Information
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NPI Number | 1609011410
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Entity Type | Organization
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Legal Business Name | BYRON R NAVEY PHD INC
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 04/27/2015
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Provider Practice Location Address
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Address Line | 323 S MCQUEEN ST
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City | FLORENCE
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State | SC
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Zip | 29501-4722
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Country | US
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Telephone | 843-992-9532
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Fax | 843-332-1595
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Provider Business Mailing Address
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Address Line | 323 S MCQUEEN ST
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City | FLORENCE
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State | SC
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Zip | 29501-4722
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Country | US
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Telephone | 843-992-9532
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Fax | 843-332-1595
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Authorized Official
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Title or Position | PRESIDENT
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Name | BYRON REED NAVEY
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Credential | PH.D.
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Telephone | 843-317-1881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 840
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License Number State | SC
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