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General NPI Number Information
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NPI Number | 1326159674
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Entity Type | Individual
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Provider Name | LOUISE B GROCHOW M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | JOHNS HOPKINS HOSP ONCOLOGY CTG C/O MARTIN ABELOFF 600 N. WOLFE ST.
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City | BALTIMORE
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State | MD
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Zip | 21287-0001
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Country | US
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Telephone | 302-252-5044
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Fax |
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Provider Business Mailing Address
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Address Line | 7 WILLARD ST
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City | CAMBRIDGE
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State | MA
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Zip | 02138-4836
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Country | US
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Telephone | 617-577-9946
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | D0018333
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License Number State | MD
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