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General NPI Number Information
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NPI Number | 1124774377
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Entity Type | Individual
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Provider Name | RACHEL EVELYN GROFF OD
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Gender | Female
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 12801 W BELL RD STE 139
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City | SURPRISE
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State | AZ
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Zip | 85378-9734
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Country | US
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Telephone | 623-583-0377
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Fax | 623-583-0378
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Provider Business Mailing Address
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Address Line | 8956 W LUKE AVE
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City | GLENDALE
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State | AZ
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Zip | 85305-2274
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3728
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT-002738
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License Number State | AZ
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