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General NPI Number Information
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NPI Number | 1437117165
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Entity Type | Individual
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Provider Name | TIANA DENISE GRONBERG-CAREY ACNP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 5115 FANNIN ST STE 801
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City | HOUSTON
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State | TX
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Zip | 77004-5870
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Country | US
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Telephone | 713-790-0841
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Fax | 713-790-9663
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Provider Business Mailing Address
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Address Line | 5115 FANNIN ST STE 801
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City | HOUSTON
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State | TX
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Zip | 77004-5870
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Country | US
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Telephone | 713-790-0841
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Fax | 713-790-9663
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP113279
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License Number State | TX
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