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General NPI Number Information
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NPI Number | 1881942613
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Entity Type | Individual
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Provider Name | SYLVIA M GRUBBS RN
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Gender | Female
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 6918 GALVIN AVE
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City | DAYTON
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State | OH
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Zip | 45417-7702
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Country | US
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Telephone | 937-760-6096
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Fax | 937-235-6754
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Provider Business Mailing Address
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Address Line | 6918 GALVIN AVE
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City | DAYTON
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State | OH
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Zip | 45417-7702
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Country | US
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Telephone | 937-760-6096
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Fax | 937-235-6754
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 228096
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License Number State | OH
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