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General NPI Number Information
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NPI Number | 1871667667
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Entity Type | Individual
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Provider Name | MELISSA M GRIMAUDO DMD
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Gender | Female
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 17200 CAMELOT CT
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City | LAND O LAKES
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State | FL
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Zip | 34638-7202
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Country | US
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Telephone | 813-345-8580
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Fax | 813-345-8581
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Provider Business Mailing Address
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Address Line | 17200 CAMELOT CT
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City | LAND O LAKES
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State | FL
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Zip | 34638-7202
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Country | US
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Telephone | 813-345-8580
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Fax | 813-345-8581
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | DN17542
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN17542
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License Number State | FL
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