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General NPI Number Information
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NPI Number | 1144575499
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Entity Type | Individual
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Provider Name | BRITTANY S WICHERS PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 3025 WADE HAMPTON BLVD
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City | TAYLORS
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State | SC
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Zip | 29687-2715
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Country | US
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Telephone | 864-686-7981
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Fax |
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Provider Business Mailing Address
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Address Line | 1305 S SUBER RD
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City | GREER
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State | SC
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Zip | 29650-0944
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Country | US
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Telephone | 864-686-7981
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 6498
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA3207
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | PA9109200
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License Number State | FL
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