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General NPI Number Information
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NPI Number | 1104792704
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Entity Type | Individual
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Provider Name | BRYSON SIMPSON FNP-C
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Gender | Male
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 3014 N PATTERSON ST
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City | VALDOSTA
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State | GA
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Zip | 31602-1711
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Country | US
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Telephone | 229-262-6815
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Fax | 229-219-1790
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Provider Business Mailing Address
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Address Line | 172 FLETCHER ST
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City | MORVEN
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State | GA
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Zip | 31638-2445
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP312496
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License Number State | GA
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