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General NPI Number Information
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NPI Number | 1497955496
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Entity Type | Organization
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Legal Business Name | MONICA R. GREY, L.C.S.W., P.A.
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 8750 S.W, STATE ROAD 200 SUITE 102
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City | OCALA
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State | FL
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Zip | 34481
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Country | US
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Telephone | 352-629-3699
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Fax |
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Provider Business Mailing Address
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Address Line | 3954 NW 41ST LN
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City | GAINESVILLE
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State | FL
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Zip | 32606-4556
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Country | US
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Telephone | 352-377-4380
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Fax | 352-377-4380
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Authorized Official
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Title or Position | OWNER
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Name | MONICA RANYD GREY
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Credential | L.C.S.W.
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Telephone | 352-377-4380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA50355
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW4384
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License Number State | FL
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