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General NPI Number Information
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NPI Number | 1134116957
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Entity Type | Individual
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Provider Name | STEPHEN A. BRUNTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 56 US HIGHWAY 321 BYP N
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City | WINNSBORO
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State | SC
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Zip | 29180-7100
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Country | US
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Telephone | 803-635-6099
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Fax | 803-635-6343
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 864-695-6697
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Fax | 864-695-6697
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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 | 34217
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 34217
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 85558
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License Number State | SC
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