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General NPI Number Information
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NPI Number | 1043397243
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Entity Type | Individual
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Provider Name | ROBERT W GRANT PHD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 11/18/2008
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Provider Practice Location Address
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Address Line | 411 OAK ST STERLING MEDICAL ASSOCIATES
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City | CINCINNATI
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State | OH
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Zip | 45219-2504
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Country | US
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Telephone | 513-984-1800
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Fax | 513-984-4909
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Provider Business Mailing Address
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Address Line | 411 OAK ST STERLING MEDICAL ASSOCIATES, ATTN: CREDENTIALS
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City | CINCINNATI
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State | OH
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Zip | 45219-2504
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Country | US
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Telephone | 513-984-1800
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Fax | 513-984-4909
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 00990
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License Number State | IA
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