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General NPI Number Information
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NPI Number | 1225242332
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Entity Type | Individual
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Provider Name | JONATHAN DAVID GROSSMAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 137 S ASPEN ST STE A
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City | VISALIA
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State | CA
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Zip | 93291-5381
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Country | US
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Telephone | 559-334-6720
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Fax | 559-429-8240
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Provider Business Mailing Address
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Address Line | 10746 N FALCON FAIRE DR
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City | FRESNO
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State | CA
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Zip | 93730-3592
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Country | US
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Telephone |
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A98906
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | A98906
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License Number State | CA
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