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General NPI Number Information
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NPI Number | 1720174535
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Entity Type | Individual
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Provider Name | JENNIFER G. GROVES P.A.-C.
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 6301 HARRIS PKWY STE 300
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City | FORT WORTH
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State | TX
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Zip | 76132-4266
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Country | US
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Telephone | 817-877-3432
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 75420
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City | BALTIMORE
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State | MD
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Zip | 21275-5420
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Country | US
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Telephone | 703-383-6469
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Fax | 703-385-1062
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110005261
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA901
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 99066589A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10001825B
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10001825A
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License Number State | IN
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Taxonomy #7
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA901
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License Number State | KY
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Taxonomy #8
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA15632
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License Number State | TX
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