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General NPI Number Information
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NPI Number | 1124079322
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Entity Type | Individual
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Provider Name | ERIN GRANT CA
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 08/26/2020
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Provider Practice Location Address
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Address Line | 769 ROUTE 9 STE 6
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City | BAYVILLE
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State | NJ
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Zip | 08721-2540
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Country | US
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Telephone | 732-600-7467
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Fax | 732-269-9630
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Provider Business Mailing Address
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Address Line | 205 NARRAGANSETTE AVE # 536
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City | OCEAN GATE
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State | NJ
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Zip | 08740-1365
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Country | US
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Telephone | 732-600-7467
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Fax | 609-693-4480
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | MZ000103
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License Number State | NJ
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