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General NPI Number Information
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NPI Number | 1821893033
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Entity Type | Individual
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Provider Name | KARLA ANN GROAH
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Gender | Female
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 10825 TOWNSHIP ROAD 49
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City | MOUNT PERRY
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State | OH
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Zip | 43760-9779
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Country | US
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Telephone | 740-221-6550
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Fax | 833-949-3972
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Provider Business Mailing Address
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Address Line | 533 GROAH RD
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City | STOCKPORT
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State | OH
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Zip | 43787-9373
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Country | US
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Telephone | 740-624-6792
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0034900
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License Number State | OH
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