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General NPI Number Information
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NPI Number | 1790750867
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Entity Type | Individual
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Provider Name | HOLLI ANN GROFF O.D.
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Gender | Female
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1200 MCKINNEY ST STE 411
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City | HOUSTON
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State | TX
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Zip | 77010-2038
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Country | US
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Telephone | 713-759-9449
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Fax | 713-759-6915
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Provider Business Mailing Address
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Address Line | 21502 MERCHANTS WAY
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City | KATY
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State | TX
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Zip | 77449-2517
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Country | US
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Telephone | 281-944-2232
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Fax | 281-944-2290
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1623
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2001030495
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5867TG
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License Number State | TX
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