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General NPI Number Information
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NPI Number | 1912938614
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Entity Type | Individual
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Provider Name | SCOTT P BYRD PT
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1060 CRATER LAKE AVE STE A
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City | MEDFORD
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State | OR
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Zip | 97504-2205
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Country | US
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Telephone | 541-776-2035
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Fax | 541-776-2036
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Provider Business Mailing Address
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Address Line | 3339 HENDERSON WAY
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City | MEDFORD
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State | OR
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Zip | 97504-9719
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Country | US
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Telephone | 541-776-2035
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Fax | 541-776-2036
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 3304
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License Number State | OR
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