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General NPI Number Information
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NPI Number | 1578044103
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Entity Type | Individual
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Provider Name | HANNAH MORGAN GRIGSBY
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Gender | Female
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 1004 N MAIN ST
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City | WEST
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State | TX
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Zip | 76691-1220
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Country | US
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Telephone | 254-495-9660
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 S 5TH ST
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City | WACO
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State | TX
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Zip | 76706-2409
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Country | US
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Telephone |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 214439
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 122376
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License Number State | TX
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