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General NPI Number Information
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NPI Number | 1841523354
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Entity Type | Organization
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Legal Business Name | DR. FRANK GRILL OB/GYN LLC
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 312 4TH ST
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City | LEWISTOWN
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State | PA
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Zip | 17044-1315
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Country | US
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Telephone | 717-248-8669
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Fax |
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Provider Business Mailing Address
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Address Line | 312 4TH ST
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City | LEWISTOWN
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State | PA
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Zip | 17044-1315
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Country | US
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Telephone | 717-248-8669
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN-SOLE MEMBER OF LLC
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Name | DR. FRANK A. GRILL
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Credential | DO
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Telephone | 717-248-8669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | OS004990L
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License Number State | PA
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