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General NPI Number Information
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NPI Number | 1225029424
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Entity Type | Individual
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Provider Name | JAMES MICHAEL GRUESKIN MD
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Gender | Male
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 11/25/2015
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Provider Practice Location Address
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Address Line | 14203 HANSONS CREEK CT
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City | HOUSTON
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State | TX
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Zip | 77044-4966
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Country | US
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Telephone | 281-225-7030
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Fax |
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Provider Business Mailing Address
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Address Line | 14203 HANSONS CREEK CT
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City | HOUSTON
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State | TX
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Zip | 77044-4966
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Country | US
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Telephone | 281-225-7030
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036-110306
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A55342
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | M4124
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License Number State | TX
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