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NPI 1659357739

NPI 1659357739 : WILLIAM ASBURY STEPHENS II PA-C : HAMPTON, SC

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General NPI Number Information
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    NPI Number           |    1659357739
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM ASBURY STEPHENS II PA-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/20/2005
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    Last Update Date     |    07/14/2025
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Provider Practice Location Address
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    Address Line         |    305 ELM ST W 
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    City                 |    HAMPTON
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    State                |    SC
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    Zip                  |    29924
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    Country              |    US
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    Telephone            |    803-943-4311
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    Fax                  |    912-927-0267
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2330 
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    City                 |    BLUFFTON
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    State                |    SC
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    Zip                  |    29910-2330
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    Country              |    US
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    Telephone            |    843-837-4400
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    Fax                  |    843-837-4440
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    A593
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    593
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    License Number State |    SC
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