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NPI 1750270120

NPI 1750270120 : GROCE SCOT ROBINSON LPA, HSP-PA : MARION, NC

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General NPI Number Information
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    NPI Number           |    1750270120
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    Entity Type          |    Individual 
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    Provider Name        |    GROCE SCOT ROBINSON LPA, HSP-PA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/01/2025
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    Last Update Date     |    07/01/2025
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Provider Practice Location Address
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    Address Line         |    551 BURMA RD W STE 8 
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    City                 |    MARION
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    State                |    NC
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    Zip                  |    28752-5583
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    Country              |    US
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    Telephone            |    828-925-0135
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    125 MAPLE DR 
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    City                 |    OLD FORT
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    State                |    NC
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    Zip                  |    28762-8694
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    Country              |    US
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    Telephone            |    828-925-0135
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    6819
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    License Number State |    NC
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