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General NPI Number Information
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NPI Number | 1033235742
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Entity Type | Organization
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Legal Business Name | BILLY D. GRANT, D.C., PSC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 1222 SKYLINE DR STE A&B
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-4968
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Country | US
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Telephone | 270-885-2366
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Fax | 270-885-2356
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Provider Business Mailing Address
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Address Line | 1222 SKYLINE DRIVE SUITE A & B
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City | HOPKINSVILLE
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State | KY
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Zip | 42240
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Country | US
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Telephone | 270-885-2366
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Fax | 270-885-2356
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Authorized Official
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Title or Position | OWNER/PRACTIONER
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Name | DR. BILLY D GRANT
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Credential | D.C.
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Telephone | 270-885-2351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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