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General NPI Number Information
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NPI Number | 1023733169
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Entity Type | Individual
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Provider Name | STEPHANIE GROBE DPT
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Gender | Female
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 507 WAKEFIELD DR APT C
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City | CHARLOTTE
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State | NC
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Zip | 28209-3148
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Country | US
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Telephone | 704-285-8207
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Fax |
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Provider Business Mailing Address
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Address Line | 16 GREEN ST APT 2
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City | LEBANON
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State | NH
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Zip | 03766-1738
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Country | US
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Telephone | 802-281-2082
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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