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General NPI Number Information
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NPI Number | 1689596447
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Entity Type | Organization
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Legal Business Name | GROSSMAN ORTHO LLC
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 6176 ISLAND BND APT D
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City | BOCA RATON
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State | FL
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Zip | 33496-3271
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Country | US
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Telephone | 301-440-1620
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Fax |
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Provider Business Mailing Address
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Address Line | 1558 HANE ST
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City | MC LEAN
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State | VA
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Zip | 22101-4438
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD GROSSMAN
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Credential | MD
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Telephone | 301-440-1620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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