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General NPI Number Information
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NPI Number | 1548101074
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Entity Type | Individual
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Provider Name | KENNETH CODY GROVE
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Gender | Male
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 8055 WASHINGTON ST
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City | DENVER
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State | CO
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Zip | 80229-5818
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Country | US
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Telephone | 303-539-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 8513 GLADIOLA CT UNIT A
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City | ARVADA
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State | CO
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Zip | 80005-1472
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Country | US
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Telephone | 303-332-3784
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Fax |
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 045918
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License Number State | CO
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