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General NPI Number Information
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NPI Number | 1730334251
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Entity Type | Individual
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Provider Name | FRANK MARLIN GRIMES DDS,MS
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Gender | Male
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 177 W MAIN ST
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3304
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Country | US
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Telephone | 615-824-4833
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Fax | 615-824-4781
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Provider Business Mailing Address
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Address Line | 110 N OAK ST
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City | SPRINGFIELD
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State | TN
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Zip | 37172-2004
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Country | US
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Telephone | 615-477-3756
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Fax |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 1993
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License Number State | TN
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