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General NPI Number Information
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NPI Number | 1861091746
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Entity Type | Individual
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Provider Name | BRUCE BERRYHILL
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Gender | Male
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 830 S BUNCOMBE RD
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City | GREER
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State | SC
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Zip | 29650-2400
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Country | US
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Telephone | 864-797-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 27 MEADOWGOLD LN
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City | GREER
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State | SC
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Zip | 29651-1964
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Country | US
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Telephone | 864-797-8090
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 11303
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License Number State | SC
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