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General NPI Number Information
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NPI Number | 1831497221
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Entity Type | Organization
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Legal Business Name | BYRNES MEDICAL, LLP
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Dates
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Enumeration Date | 03/09/2011
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 296 7TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11215-7249
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Country | US
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Telephone | 718-788-5050
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Fax | 718-768-2770
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Provider Business Mailing Address
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Address Line | 7 DORCHESTER DR
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City | GLEN HEAD
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State | NY
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Zip | 11545-3009
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Country | US
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Telephone | 718-788-5050
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Fax | 718-768-2770
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. DEBORAH BYRNES
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Credential | MD
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Telephone | 813-415-7794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 138791
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License Number State | NY
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