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General NPI Number Information
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NPI Number | 1972784379
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Entity Type | Organization
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Legal Business Name | JEFFREY A. BYRNE, D.C., P.C.
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 6253 STATE ROUTE 31
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City | CICERO
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State | NY
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Zip | 13039-8714
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Country | US
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Telephone | 315-699-2219
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Fax | 315-699-2302
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Provider Business Mailing Address
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Address Line | 4692 DRUIDS GLN
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City | MANLIUS
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State | NY
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Zip | 13104-8432
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Country | US
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Telephone | 315-682-2718
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Fax | 315-699-2302
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY A BYRNE
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Credential | D.C.
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Telephone | 315-439-2643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X007911
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License Number State | NY
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