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General NPI Number Information
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NPI Number | 1346104007
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Entity Type | Organization
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Legal Business Name | DRS GROODY PATERRA AND REIMELS PLLC
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 13605 REESE BLVD W
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-6250
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Country | US
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Telephone | 704-948-1111
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Fax | 704-823-6367
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Provider Business Mailing Address
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Address Line | 13605 REESE BLVD W
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-6250
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Country | US
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Telephone | 704-948-1111
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Fax | 704-823-6367
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Authorized Official
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Title or Position | DIRECTOR
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Name | AMANDA NOELLE GROESCHEL
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Credential |
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Telephone | 704-978-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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