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General NPI Number Information
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NPI Number | 1154614725
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Entity Type | Individual
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Provider Name | JAMES D GROCE L.C.S.W.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 318 BILBREY ST
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City | LIVINGSTON
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State | TN
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Zip | 38570-1706
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Country | US
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Telephone | 303-278-7418
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Fax |
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Provider Business Mailing Address
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Address Line | 4860 ROBB ST SUITE 201
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-2184
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Country | US
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Telephone | 303-278-7418
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Fax | 888-341-5050
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4006
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License Number State | TN
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