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General NPI Number Information
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NPI Number | 1821902636
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Entity Type | Organization
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Legal Business Name | GROOVE MEDICAL GROUP PA
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 2500 WILCREST DR STE 500
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City | HOUSTON
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State | TX
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Zip | 77042-2752
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Country | US
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Telephone | 510-200-8182
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Fax | 415-965-4204
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Provider Business Mailing Address
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Address Line | PO BOX 96768
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City | PHOENIX
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State | AZ
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Zip | 85072-6768
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Country | US
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Telephone | 510-200-8182
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Fax | 415-965-4204
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | PATRICK WEISS
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Credential |
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Telephone | 510-200-8182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NULL
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