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General NPI Number Information
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NPI Number | 1487668265
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Entity Type | Individual
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Provider Name | BERNARD GROSSMAN M.D., F.A.C.P.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 408 BELLEVUE AVE
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City | TRENTON
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State | NJ
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Zip | 08618-4502
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Country | US
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Telephone | 609-396-5800
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Fax | 609-396-5528
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Provider Business Mailing Address
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Address Line | 408 BELLEVUE AVE
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City | TRENTON
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State | NJ
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Zip | 08618-4502
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Country | US
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Telephone | 609-396-5800
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Fax | 609-396-5528
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MA37087
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License Number State | NJ
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