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General NPI Number Information
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NPI Number | 1497605786
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Entity Type | Organization
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Legal Business Name | GROOVE MEDICAL GROUP WEST PC
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 95 THIRD STREET 2ND FLOOR SUITE #223
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-3103
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Country | US
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Telephone | 510-200-8182
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Fax | 415-965-4204
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Provider Business Mailing Address
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Address Line | 1152 MILLER AVE
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City | BERKELEY
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State | CA
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Zip | 94708-1755
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Country | US
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Telephone | 510-200-8182
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | PATRICK WEISS
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Credential |
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Telephone | 510-200-8182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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