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General NPI Number Information
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NPI Number | 1578351060
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Entity Type | Individual
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Provider Name | HANNAH DENISE GRINDSTAFF LMBT
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Gender | Female
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 2000 REYNOLDS AVE STE 201
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-5868
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Country | US
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Telephone | 984-389-0888
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Fax |
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Provider Business Mailing Address
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Address Line | 305 NEWBROOK DR UNIT 3202
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City | CHARLESTON
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State | SC
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Zip | 29492-7120
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Country | US
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Telephone | 984-389-0888
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 13735
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License Number State | SC
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