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General NPI Number Information
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NPI Number | 1376045138
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Entity Type | Individual
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Provider Name | TASHA BRYANT FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/07/2018
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 501 CALDWELL LN
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City | DUNBAR
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State | WV
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Zip | 25064-2026
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Country | US
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Telephone | 304-744-4761
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Fax |
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Provider Business Mailing Address
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Address Line | 16140 CANAANVILLE RD
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City | ATHENS
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State | OH
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Zip | 45701-9079
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 72859
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.022434
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License Number State | OH
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