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General NPI Number Information
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NPI Number | 1851420863
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Entity Type | Individual
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Provider Name | STEVEN LEE GRUND M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 06/24/2010
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Provider Practice Location Address
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Address Line | 8614 E MILL PLAIN BLVD SUITE 201
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City | VANCOUVER
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State | WA
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Zip | 98664-2059
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Country | US
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Telephone | 360-254-6758
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Fax | 360-433-0193
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Provider Business Mailing Address
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Address Line | 8614 E MILL PLAIN BLVD SUITE 201
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City | VANCOUVER
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State | WA
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Zip | 98664-2059
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Country | US
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Telephone | 360-254-6758
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Fax | 360-433-0193
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD60117075
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License Number State | WA
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