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General NPI Number Information
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NPI Number | 1881028876
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Entity Type | Individual
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Provider Name | JENNIFER ANHUT DE GROOT MD
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Gender | Female
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 1000 JOHNSON FERRY RD
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City | ATLANTA
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State | GA
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Zip | 30342-1606
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Country | US
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Telephone | 405-851-8988
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Fax |
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Provider Business Mailing Address
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Address Line | 300 HALKET ST
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City | PITTSBURGH
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State | PA
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Zip | 15213-3180
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Country | US
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Telephone | 412-641-1092
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 212990
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 99197
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License Number State | GA
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