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General NPI Number Information
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NPI Number | 1457644973
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Entity Type | Individual
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Provider Name | BRETT GROH PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 9700 N 91ST ST STE A115
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5036
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Country | US
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Telephone | 480-335-2772
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Fax |
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Provider Business Mailing Address
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Address Line | 543 W MYRTLE DR
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City | CHANDLER
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State | AZ
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Zip | 85248-4559
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Country | US
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Telephone | 480-335-2772
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 21649
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4847
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License Number State | AZ
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