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General NPI Number Information
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NPI Number | 1003531013
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Entity Type | Individual
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Provider Name | PUJA GROVER
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Gender | Female
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 11301 FALLBROOK DR STE 124
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City | HOUSTON
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State | TX
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Zip | 77065-5312
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Country | US
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Telephone | 281-653-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 19411 MAIDENHAIR FERN DR
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City | CYPRESS
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State | TX
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Zip | 77433-7992
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Country | US
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Telephone | 832-654-9965
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 42253
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License Number State | TX
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