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General NPI Number Information
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NPI Number | 1194772442
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Entity Type | Organization
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Legal Business Name | GRAYSON AND ASSOCIATES PC
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 2200 LAKESHORE DR STE 150
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City | BIRMINGHAM
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State | AL
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Zip | 35209-8832
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Country | US
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Telephone | 205-871-6926
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Fax | 205-871-7981
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Provider Business Mailing Address
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Address Line | 2200 LAKESHORE DRIVE SUITE 150
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City | BIRMINGHAM
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State | AL
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Zip | 35209
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Country | US
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Telephone | 205-871-6926
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Fax | 205-868-6696
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. JOSEPH LUCAS
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Credential | MD
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Telephone | 205-871-6926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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