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General NPI Number Information
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NPI Number | 1265406292
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Entity Type | Individual
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Provider Name | BILLY D GRANT D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 1222 SKYLINE DR STE A&B
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-4968
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Country | US
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Telephone | 270-885-2366
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Fax | 270-885-2356
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Provider Business Mailing Address
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Address Line | 1222 SKYLINE DRIVE SUITE A & B
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City | HOPKINSVILLE
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State | KY
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Zip | 42240
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Country | US
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Telephone | 270-889-5355
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Fax | 270-885-2356
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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 | 3810
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License Number State | KY
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