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General NPI Number Information
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NPI Number | 1407927221
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Entity Type | Individual
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Provider Name | YVETTE S. GROSZMANN MD
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 1 BROOKLINE PL SUITE 506
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City | BROOKLINE
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State | MA
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Zip | 02445-7224
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Country | US
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Telephone | 617-739-0245
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Fax | 617-738-6703
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Provider Business Mailing Address
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Address Line | 340 MAIN ST STE. 670
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City | WORCESTER
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State | MA
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Zip | 01608-1604
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Country | US
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Telephone | 508-754-3566
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Fax | 508-438-6368
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 221224
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 221224
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License Number State | MA
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