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General NPI Number Information
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NPI Number | 1649326216
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Entity Type | Individual
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Provider Name | GUNTHER GRONING MD
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 03/22/2018
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Provider Practice Location Address
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Address Line | 18004 SW 20TH ST
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City | MIRAMAR
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State | FL
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Zip | 33029-5209
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Country | US
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Telephone | 718-614-1087
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Fax |
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Provider Business Mailing Address
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Address Line | 27830 QUIET SKY PLACE DR
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City | SPRING
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State | TX
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Zip | 77386-4108
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Country | US
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Telephone | 718-614-1087
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Fax | 936-270-8009
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME134763
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N6330
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License Number State | TX
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