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General NPI Number Information
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NPI Number | 1922098706
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Entity Type | Individual
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Provider Name | BENJAMIN DONALD BYERS D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 03/17/2015
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Provider Practice Location Address
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Address Line | 1500 S 48TH ST SUITE 712
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City | LINCOLN
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State | NE
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Zip | 68506-1276
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Country | US
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Telephone | 315-767-2855
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 S 48TH ST SUITE 712
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City | LINCOLN
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State | NE
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Zip | 68506-1276
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Country | US
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Telephone | 315-767-2855
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 1111
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 9044
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License Number State | SD
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