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General NPI Number Information
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NPI Number | 1265480644
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Entity Type | Individual
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Provider Name | JAMES W GROFF DO
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 14506 W GRANITE VALLEY DR 124
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-6010
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Country | US
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Telephone | 623-584-2127
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Fax | 623-584-1257
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Provider Business Mailing Address
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Address Line | 13943 N 91ST AVE #C-101
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City | PEORIA
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State | AZ
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Zip | 85381-3629
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Country | US
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Telephone | 623-760-9449
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Fax | 623-974-9351
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 2203
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License Number State | AZ
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