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General NPI Number Information
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NPI Number | 1841615655
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Entity Type | Individual
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Provider Name | DOLORES GREWAL PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 325 PRINCETON AVE
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City | PRINCETON
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State | NJ
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Zip | 08540-1617
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Country | US
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Telephone | 609-921-7411
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Fax | 609-683-6899
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Provider Business Mailing Address
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Address Line | 800 SPRUCE ST 1 PINE WEST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6130
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Country | US
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Telephone | 215-582-4414
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA056819
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License Number State | PA
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