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General NPI Number Information
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NPI Number | 1699106740
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Entity Type | Organization
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Legal Business Name | GRILLO & COMPANY
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Dates
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Enumeration Date | 11/27/2013
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 16701 MELFORD BLVD SUITE 400-#3487
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City | BOWIE
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State | MD
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Zip | 20715-4411
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Country | US
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Telephone | 443-204-3939
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Fax | 888-609-9664
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Provider Business Mailing Address
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Address Line | 16701 MELFORD BLVD SUITE 400-#3487
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City | BOWIE
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State | MD
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Zip | 20715-4411
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Country | US
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Telephone | 443-204-3939
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Fax | 888-609-9664
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. TERESA MARIA GRILLO
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Credential | O.D.
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Telephone | 443-204-3939
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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 | TA1396
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License Number State | MD
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