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General NPI Number Information
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NPI Number | 1013069541
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Entity Type | Organization
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Legal Business Name | J KIRKLAND GRANT, M.D. PA
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 929 N GALLOWAY AVE STE 104
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City | MESQUITE
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State | TX
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Zip | 75149-2400
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Country | US
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Telephone | 972-686-8200
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Fax | 972-686-7711
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Provider Business Mailing Address
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Address Line | 929 N GALLOWAY AVE STE 104
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City | MESQUITE
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State | TX
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Zip | 75149-2400
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Country | US
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Telephone | 972-686-8200
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Fax | 972-686-7711
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Authorized Official
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Title or Position | M.D.
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Name | J KIRKLAND GRANT
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Credential |
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Telephone | 972-686-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | F4018
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License Number State | TX
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