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General NPI Number Information
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NPI Number | 1023233129
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Entity Type | Individual
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Provider Name | YOLANDA BRYANT MD
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 2121 JUAN TABO BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-3307
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Country | US
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Telephone | 505-237-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 SKYLYN DR STE 420
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City | SPARTANBURG
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State | SC
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Zip | 29307-1047
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Country | US
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Telephone | 864-464-7985
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD2024-1064
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME117255
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License Number State | FL
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