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General NPI Number Information
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NPI Number | 1295615904
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Entity Type | Individual
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Provider Name | JOHN WESLEY GROVES APRN-CNP, FNP-BC, RN
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Gender | Male
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 1064 STATE ROUTE 28 STE F
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City | MILFORD
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State | OH
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Zip | 45150-4940
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Country | US
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Telephone | 513-981-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 MCAULEY PL STE 600
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City | BLUE ASH
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State | OH
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Zip | 45242-4778
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Country | US
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Telephone | 513-578-0759
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0040163
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License Number State | OH
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