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General NPI Number Information
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NPI Number | 1235371949
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Entity Type | Individual
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Provider Name | MATTHEW JOHN GRANT D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2009
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 8900 DARROW RD STE H102
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City | TWINSBURG
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State | OH
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Zip | 44087-6801
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Country | US
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Telephone | 440-221-2251
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Fax |
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Provider Business Mailing Address
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Address Line | 1887 WESTWOOD DR
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City | TWINSBURG
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State | OH
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Zip | 44087-1249
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Country | US
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Telephone | 440-221-2251
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3210
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License Number State | OH
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