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General NPI Number Information
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NPI Number | 1932713492
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Entity Type | Organization
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Legal Business Name | BYRNETT SURGICAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 09/02/2020
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Provider Practice Location Address
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Address Line | 1248 HUFFMAN MILL RD STE 200
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-223-6687
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2
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City | BURLINGTON
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State | NC
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Zip | 27216-0002
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Country | US
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Telephone | 336-223-6687
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | JEFFREY BYRNETT
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Credential | MD
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Telephone | 336-223-6687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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