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General NPI Number Information
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NPI Number | 1639798762
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Entity Type | Individual
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Provider Name | NELSON ROSS GRUSZCZYNSKI MD
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Gender | Male
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 18501 PINES BLVD STE 210
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1420
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Country | US
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Telephone | 954-237-2505
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Fax | 434-924-1736
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Provider Business Mailing Address
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Address Line | 15280 NW 79TH CT STE 200
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5873
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Country | US
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Telephone | 305-558-3724
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME172328
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License Number State | FL
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