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General NPI Number Information
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NPI Number | 1336038132
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Entity Type | Individual
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Provider Name | PAYTON E BRYANT RN
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Gender | Female
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Dates
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Enumeration Date | 06/28/2025
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 121 S STRATFORD RD
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City | WINSTON SALEM
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State | NC
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Zip | 27104-4213
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Country | US
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Telephone | 743-228-2349
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Fax |
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Provider Business Mailing Address
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Address Line | 120 CANADA DR
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City | STATESVILLE
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State | NC
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Zip | 28677-9809
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Country | US
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Telephone | 828-485-6385
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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 | 5024683
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 358688
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License Number State | NC
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