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General NPI Number Information
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NPI Number | 1891139713
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Entity Type | Individual
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Provider Name | TERRI MICHELLE BRIGHT APRN
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Gender | Female
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 322 N PINE ST
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City | SPARTANBURG
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State | SC
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Zip | 29302-1631
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Country | US
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Telephone | 864-582-5099
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Fax |
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Provider Business Mailing Address
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Address Line | 9085 FAIRFOREST RD APT C2
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City | SPARTANBURG
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State | SC
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Zip | 29301-1135
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Country | US
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Telephone | 864-320-8124
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 2012016606
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2012021100
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License Number State | SC
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