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General NPI Number Information
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NPI Number | 1811623143
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Entity Type | Individual
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Provider Name | BRANDYN LEE SEWERS LISW-CP
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Gender |
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 115 ATRIUM WAY STE 221
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City | COLUMBIA
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State | SC
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Zip | 29223-6383
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Country | US
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Telephone | 844-587-3433
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Fax | 803-699-8824
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Provider Business Mailing Address
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Address Line | 1506 CARTERET ST
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City | COLUMBIA
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State | SC
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Zip | 29203-6072
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Country | US
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Telephone | 839-223-5729
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 16559
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 16559
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License Number State | SC
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