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General NPI Number Information
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NPI Number | 1780511519
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Entity Type | Individual
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Provider Name | MOLLY GRUPE
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Gender | Female
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 6271 WOODLAND DR
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City | WAUNAKEE
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State | WI
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Zip | 53597-9256
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Country | US
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Telephone | 608-849-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 507 FROST WOODS RD
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City | MONONA
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State | WI
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Zip | 53716-3407
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Country | US
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Telephone | 507-358-2435
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 1590054152
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License Number State | WI
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