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General NPI Number Information
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NPI Number | 1679494603
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Entity Type | Individual
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Provider Name | LINDSEY NICOLE GRUBER LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 4190 S PLAZA TRL STE 101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1931
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Country | US
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Telephone | 757-933-1636
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Fax |
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Provider Business Mailing Address
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Address Line | 521 LASKIN RD APT 324
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-3995
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Country | US
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Telephone | 724-877-6685
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0903004996
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License Number State | VA
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