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General NPI Number Information
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NPI Number | 1770599664
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Entity Type | Individual
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Provider Name | JOHN C. BYRD M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 3130 HIGHLAND AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2399
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Country | US
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Telephone | 513-584-4268
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Fax | 513-584-6955
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Provider Business Mailing Address
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Address Line | PO BOX 636256
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City | CINCINNATI
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State | OH
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Zip | 45263-6256
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Country | US
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Telephone | 513-585-6200
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Fax | 513-245-3672
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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 | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 35.079105
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License Number State | OH
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