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General NPI Number Information
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NPI Number | 1245912526
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Entity Type | Individual
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Provider Name | TIFFANY ALISON GRIGSBY
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Gender | Female
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 3375 BURNS RD STE 108
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4360
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Country | US
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Telephone | 561-899-7747
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Fax |
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Provider Business Mailing Address
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Address Line | 12119 ALTAIR CIR
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City | JACKSONVILLE
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State | FL
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Zip | 32256-8296
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Country | US
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Telephone | 267-897-4888
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40660
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License Number State | FL
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