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General NPI Number Information
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NPI Number | 1770445827
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Entity Type | Individual
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Provider Name | GRANT L WEBB
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Gender | Male
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 5125 ROLLING HILLS CT
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-1024
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Country | US
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Telephone | 813-374-0899
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Fax | 813-374-0899
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Provider Business Mailing Address
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Address Line | 5125 ROLLING HILLS CT
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-1024
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Country | US
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Telephone | 813-770-9244
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Fax | 813-374-0899
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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 | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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License Number | 14022
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License Number State | FL
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