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General NPI Number Information
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NPI Number | 1558406587
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Entity Type | Organization
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Legal Business Name | GRIN CENTRAL STATION LLP
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6300 W PARKER RD SUITE 322
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City | PLANO
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State | TX
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Zip | 75093-8100
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Country | US
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Telephone | 972-608-4746
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Fax | 972-608-4749
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Provider Business Mailing Address
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Address Line | 6300 W PARKER RD SUITE 322
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City | PLANO
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State | TX
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Zip | 75093-8100
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Country | US
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Telephone | 972-608-4746
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Fax | 972-608-4749
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICK J RYAN
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Credential | D.D.S.
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Telephone | 972-608-4746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 19407
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 20522
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License Number State | TX
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