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General NPI Number Information
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NPI Number | 1245356278
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Entity Type | Organization
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Legal Business Name | GS PETER GROSS DO, PC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 732 S 8TH STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19147
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Country | US
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Telephone | 215-922-4707
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Fax |
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Provider Business Mailing Address
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Address Line | 732 S 8TH STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19147
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Country | US
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Telephone | 215-922-4707
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KAREN SANCHEZ
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Credential |
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Telephone | 215-922-4707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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