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General NPI Number Information
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NPI Number | 1821090119
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Entity Type | Individual
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Provider Name | DAVID MARK GRYGIER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 05/08/2017
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Provider Practice Location Address
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Address Line | 24 PARK ST
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City | PITTSFIELD
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State | MA
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Zip | 01201-4037
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Country | US
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Telephone | 413-499-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 24 PARK ST
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City | PITTSFIELD
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State | MA
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Zip | 01201-4037
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Country | US
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Telephone | 413-499-6600
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 79521
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 050835
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License Number State | CT
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