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General NPI Number Information
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NPI Number | 1134438310
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Entity Type | Organization
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Legal Business Name | ROBERT MICHAEL GRIFE ENTERPRISES, LLC
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 401 COUNTRY CLUB CT
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3310
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Country | US
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Telephone | 609-350-6680
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Fax | 609-317-4868
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Provider Business Mailing Address
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Address Line | 23 N DELSEA DR UNIT B
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City | CLAYTON
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State | NJ
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Zip | 08312-1637
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Country | US
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Telephone | 856-423-7000
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Fax | 856-423-0823
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. ROBERT MICHAEL GRIFE
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Credential | MD
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Telephone | 609-509-3445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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