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General NPI Number Information
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NPI Number | 1720112212
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Entity Type | Organization
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Legal Business Name | BYRNE ORTHODONTICS, PLLC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 454 MAPLE AVE
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-5532
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Country | US
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Telephone | 518-584-2044
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Fax | 518-581-8778
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Provider Business Mailing Address
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Address Line | 454 MAPLE AVE
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-5532
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Country | US
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Telephone | 518-584-2044
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Fax | 518-581-8778
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Authorized Official
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Title or Position | FINANCIAL COORDINATOR
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Name | HEATHER FREEBERN
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Credential |
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Telephone | 518-584-2044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 027425-1
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License Number State | NY
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