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General NPI Number Information
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NPI Number | 1285389171
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Entity Type | Organization
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Legal Business Name | DR. WILLIAM J GRIMM, APC
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 1492 N PALM CANYON DR
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4412
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Country | US
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Telephone | 760-766-7200
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Fax | 760-254-9452
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Provider Business Mailing Address
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Address Line | 1492 N PALM CANYON DR
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4412
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Country | US
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Telephone | 760-766-7200
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Fax | 760-254-9452
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. WILLIAM J GRIMM
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Credential | DO
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Telephone | 760-766-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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