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1538327796 NPI number — KAREN ELIZABETH GROVE M.D.

NPI Number: 1538327796
Health Care Provider/Practitioner: KAREN ELIZABETH GROVE M.D.

Information about “1538327796” NPI (KAREN ELIZABETH GROVE M.D.) exists in 1538327796 in HTML format HTML  |  1538327796 in plain Text format TXT  |  1538327796 in PDF (Portable Document Format) PDF  |  1538327796 in an XML format XML  formats.

NPI Number : 1538327796 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538327796",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GROVE",
    "FirstName": "KAREN",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCHMITT",
    "OtherFirstName": "KAREN",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 63362",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHARLOTTE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28263-3362",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "919-684-8111",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2351 ERWIN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DURHAM",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27705-4699",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-684-8111",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/23/2008",
    "LastUpdateDate": "06/25/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207W00000X",
        "TaxonomyName": "Ophthalmology Physician",
        "LicenseNumber": "201401290",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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