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General NPI Number Information
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NPI Number | 1205896347
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Entity Type | Individual
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Provider Name | DANNY EUGENE GRUBBS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 11/07/2017
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Provider Practice Location Address
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Address Line | 3202 METHODIST DR
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City | JONESBORO
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State | AR
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Zip | 72401-7408
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Country | US
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Telephone | 870-932-2221
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Fax | 870-931-3229
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Provider Business Mailing Address
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Address Line | 3202 METHODIST DR
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City | JONESBORO
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State | AR
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Zip | 72401-7408
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Country | US
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Telephone | 870-932-2221
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Fax | 870-931-3229
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | C-5642
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C5642
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License Number State | AR
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