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General NPI Number Information
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NPI Number | 1497856538
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Entity Type | Individual
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Provider Name | CHRISTIE MAE BRYANT-BENSON D.C.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 04/09/2018
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Provider Practice Location Address
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Address Line | 1301 ELMWOOD AVE
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City | COLUMBIA
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State | SC
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Zip | 29201-2107
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Country | US
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Telephone | 803-888-6221
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 ELMWOOD AVE
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City | COLUMBIA
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State | SC
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Zip | 29201-2107
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Country | US
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Telephone | 803-201-4282
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3390
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X010849
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License Number State | NY
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