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General NPI Number Information
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NPI Number | 1174975734
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Entity Type | Individual
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Provider Name | ERIC HANS GRUENBERGER MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2016
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 232 BENT HOLLY DR
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City | COLUMBIA
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State | SC
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Zip | 29209
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Country | US
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Telephone | 443-812-5989
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Fax | 443-558-3676
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Provider Business Mailing Address
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Address Line | 9 MARSH CREEK DR
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City | MAULDIN
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State | SC
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Zip | 29662-3150
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Country | US
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Telephone | 443-812-5989
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Fax | 443-558-3676
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 94207
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 89869
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 94207
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 94207
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 89869
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License Number State | GA
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