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General NPI Number Information
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NPI Number | 1386459493
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Entity Type | Individual
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Provider Name | CAROLINE GROB
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Gender | Female
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1049 MAIN ST
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City | WEST BARNSTABLE
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State | MA
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Zip | 02668-1152
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Country | US
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Telephone | 508-744-7105
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Fax |
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Provider Business Mailing Address
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Address Line | 4 FOREST DR
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City | MASHPEE
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State | MA
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Zip | 02649-2331
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Country | US
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Telephone | 339-222-2952
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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