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General NPI Number Information
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NPI Number | 1285696005
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Entity Type | Individual
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Provider Name | ARIKA Y BRYANT PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1013 PROFESSIONAL CT STE A
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City | MANNING
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State | SC
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Zip | 29102-2827
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Country | US
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Telephone | 803-773-5224
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Fax |
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Provider Business Mailing Address
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Address Line | 1885 HYLAN BLVD # 1113
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City | STATEN ISLAND
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State | NY
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Zip | 10305-2110
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00352400
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License Number State | NJ
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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 | 011074-1
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License Number State | NY
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