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General NPI Number Information
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NPI Number | 1063029122
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Entity Type | Individual
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Provider Name | DR. STEVEN GROSS
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Gender | Male
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 5300 W HILLSBORO BLVD STE 204
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4395
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Country | US
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Telephone | 786-859-9325
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 NE 210TH ST
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City | MIAMI
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State | FL
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Zip | 33179-1629
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Country | US
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Telephone | 786-859-9325
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN25050
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License Number State | FL
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