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General NPI Number Information
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NPI Number | 1023004660
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Entity Type | Individual
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Provider Name | STUART IRVING GROSS MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 16190 NE 11TH CT
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4504
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Country | US
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Telephone | 305-944-3883
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Fax | 305-354-2210
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Provider Business Mailing Address
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Address Line | 1355 NE 171ST ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2732
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Country | US
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Telephone | 305-653-2039
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME0015954
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License Number State | FL
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