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General NPI Number Information
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NPI Number | 1356477897
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Entity Type | Individual
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Provider Name | DAVID DANIEL GRANT D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/15/2008
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Provider Practice Location Address
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Address Line | 23610 VAN BORN RD
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48125-2356
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Country | US
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Telephone | 313-291-1060
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Fax |
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Provider Business Mailing Address
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Address Line | 262 KERBY RD
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City | GROSSE POINTE FARMS
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State | MI
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Zip | 48236-3146
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Country | US
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Telephone | 313-930-4347
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 03514
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301009238
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License Number State | MI
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