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General NPI Number Information
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NPI Number | 1679674154
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Entity Type | Individual
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Provider Name | WILLIAM EDWARD BRYAN III PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 508 FULTON ST # 119
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City | DURHAM
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State | NC
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Zip | 27705-3875
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Country | US
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Telephone | 919-286-0411
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 SW 75TH ST APT 317
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City | GAINESVILLE
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State | FL
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Zip | 32607-6636
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Country | US
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Telephone | 919-225-3280
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18215
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 18215
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License Number State | NC
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