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General NPI Number Information
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NPI Number | 1235119405
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Entity Type | Individual
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Provider Name | ARMAND C. GRIMSHAW MD
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Gender | Male
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Dates
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Enumeration Date | 01/21/2006
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 1890 W GAUTHIER RD STE 135
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City | LAKE CHARLES
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State | LA
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Zip | 70605-7179
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Country | US
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Telephone | 337-480-5510
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Fax | 337-480-5511
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Provider Business Mailing Address
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Address Line | 1890 W GAUTHIER RD SUITE 200
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City | LAKE CHARLES
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State | LA
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Zip | 70605-7179
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Country | US
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Telephone | 337-474-5519
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Fax | 337-474-6313
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 020473
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License Number State | LA
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