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General NPI Number Information
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NPI Number | 1427849512
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Entity Type | Individual
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Provider Name | BRYCE THOMAS WHITE PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 460 WILLIAM HILTON PKWY STE A
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2498
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Country | US
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Telephone | 843-738-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 167 HARTWELL RD
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City | BLUFFTON
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State | SC
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Zip | 29910-9998
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Country | US
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Telephone | 678-849-7718
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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 |
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License Number State |
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