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General NPI Number Information
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NPI Number | 1295248904
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Entity Type | Organization
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Legal Business Name | GROCH MOBILE WELLNESS PC
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 11/16/2017
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Provider Practice Location Address
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Address Line | 4400 S MONACO ST APT 711
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City | DENVER
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State | CO
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Zip | 80237-3451
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Country | US
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Telephone | 720-372-3952
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 S MONACO ST APT 711
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City | DENVER
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State | CO
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Zip | 80237-3451
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Country | US
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Telephone | 720-372-3952
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. ADAM SCIARRINO GROCH
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Credential | DC
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Telephone | 720-372-3952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR.0007681
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License Number State | CO
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