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General NPI Number Information
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NPI Number | 1568558542
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Entity Type | Individual
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Provider Name | DAWN M GRANDISON D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 773 S QUEEN ST STE B
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City | DOVER
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State | DE
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Zip | 19904-3574
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Country | US
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Telephone | 302-678-3384
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Fax | 866-861-3893
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Provider Business Mailing Address
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Address Line | 713 MILLET LN
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City | WYOMING
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State | DE
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Zip | 19934-1285
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Country | US
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Telephone | 302-222-8106
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Fax | 668-613-8938
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | G10001161
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License Number State | DE
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