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General NPI Number Information
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NPI Number | 1528022399
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Entity Type | Organization
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Legal Business Name | JAMES L. GROSS, DO, PC
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10250 N 92ND ST SUITE 206
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4510
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Country | US
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Telephone | 480-614-2242
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Fax | 480-614-2252
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Provider Business Mailing Address
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Address Line | 10250 N 92ND ST SUITE 206
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4510
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Country | US
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Telephone | 480-614-2242
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Fax | 480-614-2252
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES L GROSS
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Credential | DO
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Telephone | 480-614-2242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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