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General NPI Number Information
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NPI Number | 1427006808
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Entity Type | Individual
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Provider Name | DANA LEE WILEY MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 102 COMMONS BLVD STE C
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City | PIEDMONT
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State | SC
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Zip | 29673
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Country | US
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Telephone | 864-220-9115
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Fax | 864-220-9513
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Provider Business Mailing Address
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Address Line | 3300D NORTH MAIN STREET STE 171 PMB
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City | ANDERSON
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State | SC
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Zip | 29621
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Country | US
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Telephone | 864-220-9115
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Fax | 864-220-9513
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | U6601
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD481709
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME158372
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 17523
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License Number State | SC
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