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General NPI Number Information
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NPI Number | 1396841730
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Entity Type | Individual
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Provider Name | PATRICIA GRIMES NP
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 9106 PINE VIEW LN
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City | CLINTON
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State | MD
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Zip | 20735-3229
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Country | US
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Telephone | 301-856-2930
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Fax |
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Provider Business Mailing Address
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Address Line | 2041 MARTIN LUTHER KING JR AVE SE STE 303
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City | WASHINGTON
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State | DC
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Zip | 20020-7036
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 487-661
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F332935-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R181475
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R181475
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License Number State | MD
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