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General NPI Number Information
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NPI Number | 1871406520
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Entity Type | Individual
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Provider Name | LEINEY GRACE BRYANT
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Gender | Female
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 157 BROZZINI CT STE A
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City | GREENVILLE
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State | SC
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Zip | 29615-5340
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Country | US
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Telephone | 864-207-4108
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Fax |
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Provider Business Mailing Address
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Address Line | 116 VISTA SPRINGS AVE
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City | LEXINGTON
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State | SC
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Zip | 29072-8106
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Country | US
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Telephone | 803-707-7141
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | SC
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