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General NPI Number Information
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NPI Number | 1144233891
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Entity Type | Individual
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Provider Name | BRUCE HUYSER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 6439 GARNERS FERRY RD
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City | COLUMBIA
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State | SC
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Zip | 29209-1638
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Country | US
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Telephone | 803-200-4874
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 POTTER COVE LN
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City | MATTHEWS
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State | NC
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Zip | 28104-7294
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Country | US
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Telephone | 509-230-3529
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00003774
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License Number State | WA
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