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General NPI Number Information
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NPI Number | 1033111265
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Entity Type | Individual
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Provider Name | ROBERT S. GRIMSHAW, JR. M.D., F.A.C.P.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 11/11/2016
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Provider Practice Location Address
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Address Line | 3535 HILL BLVD STE R CARE MOUNT MEDICAL PC
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City | YORKTOWN HTS
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State | NY
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Zip | 10598-1209
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Country | US
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Telephone | 914-962-3180
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Fax | 914-242-1516
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Provider Business Mailing Address
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Address Line | 110 S BEDFORD RD CARE MOUNT MEDICAL, PC
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3446
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Country | US
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Telephone | 914-962-3180
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Fax | 914-242-1516
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 143759-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 143759-1
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License Number State | NY
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