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General NPI Number Information
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NPI Number | 1619254356
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Entity Type | Individual
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Provider Name | LINDA W. BYRD NP
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Gender | Female
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Dates
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Enumeration Date | 11/09/2011
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Last Update Date | 08/10/2012
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Provider Practice Location Address
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Address Line | 780 NORTH GLYNN
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-1193
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Country | US
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Telephone | 866-825-3227
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Fax | 484-450-2617
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Provider Business Mailing Address
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Address Line | 161 WASHINGTON ST FL 14 EIGHT TOWER BRIDGE, STE 1400
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-2083
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Country | US
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Telephone | 484-351-3206
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Fax | 848-450-2617
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN119790
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-067844
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License Number State | AL
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