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General NPI Number Information
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NPI Number | 1326919523
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Entity Type | Individual
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Provider Name | GRAYSON EDWARD MCGINNIS
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Gender | Male
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 4300 PARK AVE
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City | NASHVILLE
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State | TN
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Zip | 37209-3675
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Country | US
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Telephone | 629-309-6112
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Fax |
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Provider Business Mailing Address
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Address Line | 2607 HERMITAGE PARK DR
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City | HERMITAGE
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State | TN
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Zip | 37076-3198
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Country | US
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Telephone | 865-456-9634
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 000758978
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 15671
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License Number State | TN
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