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General NPI Number Information
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NPI Number | 1851443741
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Entity Type | Individual
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Provider Name | BRYAN FOX PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 2744 MILLWOOD AVE
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City | COLUMBIA
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State | SC
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Zip | 29205-1221
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Country | US
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Telephone | 803-999-2304
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Fax | 803-422-2154
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Provider Business Mailing Address
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Address Line | 30 DULANEY CT
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City | COLUMBIA
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State | SC
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Zip | 29229-7418
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Country | US
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Telephone | 803-422-2154
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8709
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License Number State | SC
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