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An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X |
| NPI # | 1932216652 |
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| LBN Legal business name | GRANGER MEDICAL CLINIC, PC | ||||
| Authorized official | ANNE WHITAKER - (CREDENTIALING COORDINATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 08/25/2006 | ||||
| Last updated | 01/21/2015 - About 11 years ago | ||||
| Identifiers |
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GRANGER MEDICAL CLINIC, PC