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General NPI Number Information
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NPI Number | 1962373308
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Entity Type | Individual
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Provider Name | JUDY BYERS
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Gender | Female
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1502 SOUTHPARK CT
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City | COLUMBUS
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State | IN
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Zip | 47201-7489
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Country | US
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Telephone | 812-902-2237
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 TROGDON LN
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City | BEDFORD
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State | IN
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Zip | 47421-8154
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Country | US
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Telephone | 812-902-2237
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | IN
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