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General NPI Number Information
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NPI Number | 1598768186
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Entity Type | Individual
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Provider Name | MEL GRANT AU.D.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 3540 FOREST HILL BLVD STE 205
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5878
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Country | US
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Telephone | 561-649-4006
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Fax | 561-969-6621
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Provider Business Mailing Address
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Address Line | 3540 FOREST HILL BLVD STE 205
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5878
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Country | US
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Telephone | 561-649-4006
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Fax | 561-969-6621
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY151
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AY 151
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License Number State | FL
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