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General NPI Number Information
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NPI Number | 1740914639
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Entity Type | Individual
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Provider Name | BRIANA K GRIMALDI OD
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Gender | Female
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 65 ROUTE 70 E
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City | EVESHAM
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State | NJ
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Zip | 08053-1747
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Country | US
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Telephone | 856-596-4416
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Fax | 856-596-6566
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Provider Business Mailing Address
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Address Line | 65 ROUTE 70 E
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City | MARLTON
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State | NJ
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Zip | 08053-1747
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Country | US
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Telephone | 856-596-4416
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Fax | 856-596-6566
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00714800
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License Number State | NJ
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