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General NPI Number Information
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NPI Number | 1659477131
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Entity Type | Individual
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Provider Name | HAL C. BYCK MD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | NEMOURS PEDIATRICS JESSUP ST. 1602 JESSUP STREET
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City | WILMINGTON
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State | DE
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Zip | 19802-4210
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Country | US
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Telephone | 302-576-5050
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Fax | 302-576-5065
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Provider Business Mailing Address
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Address Line | NEMOURS CHILDRENS CLINIC P.O. BOX 404112
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City | ATLANTA
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State | GA
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Zip | 30384-0001
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Country | US
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Telephone | 904-390-3610
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Fax | 904-288-5890
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C10003946
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | C10003946
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | C10003946
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License Number State | DE
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