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NPI 1467390021

NPI 1467390021 : GRIER LLC : KISSIMMEE, FL

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General NPI Number Information
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    NPI Number           |    1467390021
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    Entity Type          |    Organization 
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    Legal Business Name  |    GRIER LLC 
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Dates
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    Enumeration Date     |    03/24/2026
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    Last Update Date     |    03/24/2026
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Provider Practice Location Address
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    Address Line         |    1030 MARCELLO BLVD 
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    City                 |    KISSIMMEE
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    State                |    FL
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    Zip                  |    34746-6195
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    Country              |    US
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    Telephone            |    407-602-5227
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    Fax                  |    888-414-7430
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Provider Business Mailing Address
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    Address Line         |    7901 4TH ST N STE 300 
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    City                 |    ST PETERSBURG
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    State                |    FL
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    Zip                  |    33702-4399
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    Country              |    US
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    Telephone            |    407-602-5227
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    Fax                  |    888-414-7430
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Authorized Official
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    Title or Position    |    PRESIDENT / MANAGER
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    Name                 |    MS. VALERIE RENEE BOUCHAND 
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    Credential           |    
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    Telephone            |    407-602-5227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171W00000X
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    Taxonomy Name        |    Contractor
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    License Number       |    
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    License Number State |    
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