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General NPI Number Information
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NPI Number | 1689231201
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Entity Type | Individual
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Provider Name | BRIAN PHILIP ANDERSON DO
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Gender | Male
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Dates
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Enumeration Date | 05/20/2019
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 1095 IRON ORE RD
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City | SPARTANBURG
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State | SC
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Zip | 29303-2239
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Country | US
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Telephone | 864-582-2900
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Fax | 864-582-2900
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Provider Business Mailing Address
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Address Line | PO BOX 5787
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City | SPARTANBURG
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State | SC
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Zip | 29304-5787
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Country | US
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Telephone |
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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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | 91340
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License Number State | SC
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