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General NPI Number Information
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NPI Number | 1467683441
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Entity Type | Individual
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Provider Name | RICHARD H. GROSSHEIM RPH
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Gender | Male
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Dates
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Enumeration Date | 08/07/2009
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Last Update Date | 07/15/2021
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Provider Practice Location Address
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Address Line | 1404 LIVE OAK ST.
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City | BEAUFORT
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State | NC
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Zip | 28516
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Country | US
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Telephone | 252-728-2006
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Fax | 252-728-4777
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Provider Business Mailing Address
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Address Line | 708 HWY 70 EAST-OTWAY
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City | BEAUFORT
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State | NC
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Zip | 28516
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Country | US
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Telephone | 252-838-1540
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Fax | 252-838-1545
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12842
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License Number State | NC
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