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General NPI Number Information
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NPI Number | 1669108726
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Entity Type | Individual
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Provider Name | BRYSON CARTER SHEFFIELD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2022
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 1810 38677, MANNING WAY
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City | OXFORD
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State | MS
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Zip | 38655
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Country | US
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Telephone | 662-915-7211
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 IVY RD UNIT G
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City | OXFORD
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State | MS
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Zip | 38655-2892
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Country | US
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Telephone | 662-372-0316
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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 | 226300000X
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Taxonomy Name | Kinesiotherapist
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License Number |
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License Number State |
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