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General NPI Number Information
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NPI Number | 1982938809
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Entity Type | Organization
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Legal Business Name | BENJAMIN MORRIS GRISAFI P.C.
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Dates
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Enumeration Date | 09/24/2009
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Last Update Date | 09/24/2009
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Provider Practice Location Address
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Address Line | 507 W GERMANTOWN PIKE
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City | EAST NORRITON
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State | PA
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Zip | 19403-4231
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Country | US
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Telephone | 610-275-3355
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Fax | 610-275-5210
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Provider Business Mailing Address
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Address Line | PO BOX 268
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City | FAIRVIEW VILLAGE
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State | PA
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Zip | 19409-0268
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Country | US
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Telephone | 610-275-3355
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Fax | 610-275-5210
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | BENJAMIN M GRISAFI
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Credential |
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Telephone | 610-275-3355
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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 |
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License Number State |
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