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General NPI Number Information
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NPI Number | 1225980683
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Entity Type | Individual
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Provider Name | ANYA GRANDISON DMD
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Gender | Female
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 10117 CLEARY BLVD
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City | PLANTATION
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State | FL
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Zip | 33324-1066
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Country | US
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Telephone | 954-916-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 3865 SHACKLEFORD RD APT 526
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City | DULUTH
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State | GA
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Zip | 30096-8341
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Country | US
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Telephone | 954-608-4143
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN31260
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License Number State | FL
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