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General NPI Number Information
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NPI Number | 1700793858
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Entity Type | Individual
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Provider Name | JUSTYN KHALIL GRAY DPT
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Gender | Male
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 3675 SW CARY PKWY
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City | CARY
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State | NC
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Zip | 27513-8913
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Country | US
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Telephone | 919-913-8455
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Fax | 919-913-8462
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Provider Business Mailing Address
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Address Line | 204 MATTHEWS DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-4302
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Country | US
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Telephone | 919-578-4200
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Fax | 919-578-9922
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P25255
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License Number State | NC
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