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General NPI Number Information
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NPI Number | 1881664795
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Entity Type | Individual
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Provider Name | ROBERT PAUL GRUMBACH M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 222 HERLONG AVE S
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City | ROCK HILL
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State | SC
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Zip | 29732-1158
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Country | US
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Telephone | 803-329-1234
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Fax | 803-328-1785
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Provider Business Mailing Address
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Address Line | PO BOX 6069
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City | WEST COLUMBIA
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State | SC
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Zip | 29171-6069
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Country | US
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Telephone |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 197600
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 19760
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License Number State | SC
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