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General NPI Number Information
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NPI Number | 1942560800
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Entity Type | Individual
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Provider Name | BREYANNA GRAYS M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2012
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 305 W JACKSON ST STE 103
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City | CARBONDALE
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State | IL
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Zip | 62901
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Country | US
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Telephone | 618-351-4972
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Fax | 618-351-6522
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Provider Business Mailing Address
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Address Line | 6451 N FEDERAL HWY STE 800
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-1409
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Country | US
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Telephone | 800-586-5022
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Fax | 815-933-7090
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2021-03398
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 0101276281
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036140626
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MA10973500
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 307794
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 86782
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License Number State | SC
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Taxonomy #7
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 13460
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License Number State | SD
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Taxonomy #8
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 43285
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License Number State | AL
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Taxonomy #9
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD482637
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License Number State | PA
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Taxonomy #10
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | DR.0072700
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License Number State | CO
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Taxonomy #11
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | D0101045
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License Number State | MD
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Taxonomy #12
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD500003395
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License Number State | DC
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Taxonomy #13
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | C1-0025615
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License Number State | DE
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Taxonomy #14
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME149004
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License Number State | FL
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Taxonomy #15
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 88326
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License Number State | GA
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