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General NPI Number Information
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NPI Number | 1902075120
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Entity Type | Organization
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Legal Business Name | PAUL M BYRNESMDPC
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 01/04/2013
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Provider Practice Location Address
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Address Line | 721 RIVERSIDE AVE
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City | ADRIAN
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State | MI
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Zip | 49221-1437
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Country | US
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Telephone | 517-263-6378
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Fax | 517-263-4622
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Provider Business Mailing Address
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Address Line | 721 RIVERSIDE AVE
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City | ADRIAN
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State | MI
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Zip | 49221-1437
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Country | US
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Telephone | 517-263-6378
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Fax | 517-263-4622
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL M BYRNES
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Credential | MD
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Telephone | 517-263-6378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PB049310
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License Number State | MI
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