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General NPI Number Information
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NPI Number | 1427121631
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Entity Type | Individual
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Provider Name | NAOMI GROBSTEIN MD
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Gender | Female
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 930 MARTIN LUTHER KING JR BLVD
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City | CHAPEL HILL
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State | NC
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Zip | 27514-2656
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Country | US
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Telephone | 919-933-3301
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Fax |
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Provider Business Mailing Address
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Address Line | 24 NORTHVIEW TER
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City | CEDAR GROVE
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State | NJ
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Zip | 07009-1537
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Country | US
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Telephone | 973-271-9221
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA03933400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2021-00105
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License Number State | NC
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