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General NPI Number Information
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NPI Number | 1144531955
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Entity Type | Organization
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Legal Business Name | ALICIA W. GROSSMANN, MD, PA
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Dates
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Enumeration Date | 06/25/2010
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Last Update Date | 06/25/2010
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Provider Practice Location Address
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Address Line | 6301 W PARMER LN SUITE 102
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City | AUSTIN
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State | TX
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Zip | 78729-6801
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Country | US
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Telephone | 512-834-9999
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Fax | 512-834-9998
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Provider Business Mailing Address
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Address Line | 6301 W PARMER LN SUITE 102
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City | AUSTIN
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State | TX
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Zip | 78729-6801
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Country | US
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Telephone | 512-834-9999
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Fax | 512-834-9998
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALICIA W. GROSSMANN
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Credential | M.D.
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Telephone | 512-834-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N1660
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License Number State | TX
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