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General NPI Number Information
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NPI Number | 1578512620
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Entity Type | Individual
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Provider Name | JOSEPH P GRAJO DO
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Gender | Male
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 890 W FARIS RD STE 580
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City | GREENVILLE
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State | SC
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Zip | 29605-4281
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Country | US
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Telephone | 864-455-7874
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 864-522-8614
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 20A13748
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 83360
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 262853
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 208093
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036167913
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DO00556
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License Number State | RI
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