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General NPI Number Information
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NPI Number | 1629898010
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Entity Type | Organization
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Legal Business Name | BYRD HEALTH CARE
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 23077 GREENFILED RD STE 255
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 248-559-5200
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Fax | 248-449-6889
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Provider Business Mailing Address
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Address Line | 23077 GREENFILED RD STE 255
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 248-559-5200
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Fax | 248-449-6889
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BERRY BYRD
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Credential | DPM
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Telephone | 205-531-9521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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