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General NPI Number Information
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NPI Number | 1831450071
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Entity Type | Individual
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Provider Name | SERENA ANN BYRD M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/05/2012
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 150 PARK AVE
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City | FLORHAM PARK
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State | NJ
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Zip | 07932
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Country | US
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Telephone | 908-977-9376
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 MAXWELL LN APT 705
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City | HOBOKEN
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State | NJ
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Zip | 07030-6842
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Country | US
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Telephone | 734-904-4450
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | FB6788371
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License Number State | NJ
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