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General NPI Number Information
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NPI Number | 1932314259
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Entity Type | Individual
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Provider Name | MICHAEL GRIGORIOU D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 10/05/2010
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Provider Practice Location Address
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Address Line | 21501 BROOKHURST ST SUITE E
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-8080
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Country | US
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Telephone | 714-963-7712
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Fax | 714-965-0682
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Provider Business Mailing Address
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Address Line | 1548 VALENCIA
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-3278
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Country | US
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Telephone | 551-579-2159
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Fax | 714-965-0682
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00611600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 31675
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License Number State | CA
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