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General NPI Number Information
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NPI Number | 1821550609
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Entity Type | Individual
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Provider Name | STEPHANIE RAE BYRNE MD, MPH, MBA
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Gender | Female
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1505 SAINT ALPHONSUS WAY
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City | ALAMO
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State | CA
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Zip | 94507-1570
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Country | US
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Telephone | 925-838-7337
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Fax |
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Provider Business Mailing Address
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Address Line | 1450 TREAT BLVD STE 300
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City | WALNUT CREEK
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State | CA
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Zip | 94597-2168
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Country | US
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Telephone | 925-952-2828
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Fax |
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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 | MD485561
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A177273
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License Number State | CA
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