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General NPI Number Information
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NPI Number | 1013296045
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Entity Type | Individual
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Provider Name | PATRICIA GROFF PHD
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Gender | Female
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Dates
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Enumeration Date | 08/08/2011
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Last Update Date | 10/18/2013
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Provider Practice Location Address
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Address Line | 1717 E BELL RD SUITE 9
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City | PHOENIX
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State | AZ
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Zip | 85022-6200
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Country | US
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Telephone | 480-382-0383
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Fax |
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Provider Business Mailing Address
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Address Line | 11 E BELL RD APT 330
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City | PHOENIX
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State | AZ
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Zip | 85022-2306
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Country | US
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Telephone | 717-598-5674
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4428
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License Number State | AZ
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