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General NPI Number Information
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NPI Number | 1578857694
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Entity Type | Organization
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Legal Business Name | ALAN H. GRANT, O.D., CHTD.
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 04/22/2016
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Provider Practice Location Address
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Address Line | 7209 ARMAT DR
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City | BETHESDA
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State | MD
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Zip | 20817-2107
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Country | US
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Telephone | 301-631-4366
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Fax |
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Provider Business Mailing Address
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Address Line | 7209 ARMAT DR
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City | BETHESDA
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State | MD
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Zip | 20817-2107
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Country | US
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Telephone | 301-631-4366
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. LESLIE GRANT ALBERT
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Credential | O.D.
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Telephone | 301-631-4366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA0791
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License Number State | MD
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