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General NPI Number Information
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NPI Number | 1487799201
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Entity Type | Individual
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Provider Name | DANIEL A GRANTZ PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1808 ALEXANDRIA DR
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City | LEXINGTON
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State | KY
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Zip | 40504-3114
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Country | US
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Telephone | 859-277-0767
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Fax |
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Provider Business Mailing Address
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Address Line | 4432 RIVER RIDGE RD
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City | LEXINGTON
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State | KY
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Zip | 40515-6084
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Country | US
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Telephone | 859-223-0555
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 012707
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License Number State | KY
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