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General NPI Number Information
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NPI Number | 1114992146
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Entity Type | Individual
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Provider Name | BERNADETTE GROSJEAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 156 WADSWORTH AVE
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City | SANTA MONICA
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State | CA
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Zip | 90405-3510
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Country | US
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Telephone | 213-840-7439
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Fax |
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Provider Business Mailing Address
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Address Line | 156 WADSWORTH AVE
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City | SANTA MONICA
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State | CA
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Zip | 90405-3510
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Country | US
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Telephone | 213-840-7439
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A84221
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | 321577
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License Number State | NY
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