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General NPI Number Information
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NPI Number | 1295949840
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Entity Type | Individual
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Provider Name | PAUL H. GRUNDY MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2070 ROUTE 52 IBM CORP., BLDG. 320, ZIP 644
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-3507
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Country | US
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Telephone | 845-894-9977
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Fax | 845-892-3226
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Provider Business Mailing Address
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Address Line | 2070 ROUTE 52 IBM CORP., BLDG. 320, ZIP 644
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533
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Country | US
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Telephone | 845-894-9977
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Fax | 845-892-3226
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 235117
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License Number State | NY
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