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NPI 1144085499

NPI 1144085499 : GROOVE THERAPY HEALTH AND WELLNESS : SOLON, OH

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General NPI Number Information
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    NPI Number           |    1144085499
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    Entity Type          |    Organization 
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    Legal Business Name  |    GROOVE THERAPY HEALTH AND WELLNESS 
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Dates
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    Enumeration Date     |    02/15/2024
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    Last Update Date     |    04/11/2025
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Provider Practice Location Address
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    Address Line         |    6150 ENTERPRISE PKWY STE 207 
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    City                 |    SOLON
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    State                |    OH
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    Zip                  |    44139-2755
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    Country              |    US
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    Telephone            |    330-227-8333
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    Fax                  |    833-523-2203
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Provider Business Mailing Address
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    Address Line         |    6150 ENTERPRISE PKWY STE 207 
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    City                 |    SOLON
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    State                |    OH
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    Zip                  |    44139-2755
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    Country              |    US
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    Telephone            |    330-227-8333
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    Fax                  |    833-523-2203
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LAUREL A HURST 
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    Credential           |    APRN-CNP
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    Telephone            |    330-227-8333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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