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General NPI Number Information
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NPI Number | 1104701648
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Entity Type | Individual
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Provider Name | TERRI GRYGIER
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Gender |
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 11530 HIGHWAY 49 STE E
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City | GULFPORT
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State | MS
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Zip | 39503-3089
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Country | US
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Telephone | 228-707-2007
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Fax |
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Provider Business Mailing Address
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Address Line | 4125 SILVERWOOD DR
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3083
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Country | US
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Telephone | 228-382-8634
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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