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General NPI Number Information
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NPI Number | 1609988336
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Entity Type | Individual
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Provider Name | JOSHUA DAVID GRILL D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/03/2020
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Provider Practice Location Address
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Address Line | 1 DAG HAMMARSKJOLD BLVD STE 5
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City | FREEHOLD
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State | NJ
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Zip | 07728-5222
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Country | US
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Telephone | 732-780-0769
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Fax | 732-414-7800
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Provider Business Mailing Address
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Address Line | 1 DAG HAMMARSKJOLD BLVD STE 5
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City | FREEHOLD
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State | NJ
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Zip | 07728-5222
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Country | US
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Telephone | 732-780-0769
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Fax | 732-414-7800
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N005589
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | MD002665
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License Number State | NJ
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