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General NPI Number Information
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NPI Number | 1780157842
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Entity Type | Individual
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Provider Name | BRIANA WELCH DENTON PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 615 E 12TH ST
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City | WASHINGTON
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State | NC
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Zip | 27889-3408
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Country | US
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Telephone | 252-946-0181
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Fax |
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Provider Business Mailing Address
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Address Line | 300 SILVERLEAF CT
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City | GREENVILLE
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State | NC
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Zip | 27834-0531
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Country | US
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Telephone | 336-317-3765
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-08735
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License Number State | NC
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