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General NPI Number Information
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NPI Number | 1194939736
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Entity Type | Individual
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Provider Name | JOSEPH L GRISAFI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/22/2015
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Provider Practice Location Address
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Address Line | 2924 SWEDE RD
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City | EAST NORRITON
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State | PA
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Zip | 19401-1336
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Country | US
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Telephone | 484-744-1063
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Fax |
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Provider Business Mailing Address
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Address Line | 2583 COLD SPRING RD
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City | LANSDALE
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State | PA
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Zip | 19446-6065
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Country | US
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Telephone | 484-744-1063
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD427860
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD427860
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License Number State | PA
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