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General NPI Number Information
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NPI Number | 1508001710
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Entity Type | Organization
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Legal Business Name | GARY M. GROLEMUND, DPM PC
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 12/03/2008
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Provider Practice Location Address
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Address Line | 10 PROFESSIONAL DR
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City | BRUNSWICK
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State | GA
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Zip | 31520-3774
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Country | US
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Telephone | 912-264-6150
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Fax |
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Provider Business Mailing Address
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Address Line | 10 PROFESSIONAL DR
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City | BRUNSWICK
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State | GA
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Zip | 31520-3774
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Country | US
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Telephone | 912-264-6150
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GARY GROLEMUND
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Credential | DPM
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Telephone | 912-264-6150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | POD000543
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License Number State | GA
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