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General NPI Number Information
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NPI Number | 1144501057
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Entity Type | Individual
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Provider Name | ANNA MARIE GRUBENHOFF FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 2001 ANDERSON FERRY RD
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City | CINCINNATI
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State | OH
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Zip | 45238-3325
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Country | US
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Telephone | 513-246-7000
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Fax | 513-246-5627
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Provider Business Mailing Address
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Address Line | 4600 WESLEY AVE STE N
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City | CINCINNATI
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State | OH
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Zip | 45212-2298
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Country | US
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Telephone | 513-246-7800
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Fax | 513-246-7852
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN.343840
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License Number State | OH
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