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General NPI Number Information
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NPI Number | 1548263759
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Entity Type | Individual
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Provider Name | TERRY ALLEN GROVER D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 105 FALLS COURT SUITE 100
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City | BOERNE
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State | TX
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Zip | 78006-2986
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Country | US
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Telephone | 830-249-3800
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Fax | 830-249-0882
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Provider Business Mailing Address
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Address Line | 2961 MOSSROCK
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City | SAN ANTONIO
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State | TX
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Zip | 78230-5119
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Country | US
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Telephone | 210-731-4800
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Fax | 210-731-4810
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L5750
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License Number State | TX
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