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General NPI Number Information
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NPI Number | 1912870288
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Entity Type | Organization
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Legal Business Name | GROVE HEALTHCARE LLC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 711 S KIRKWOOD RD
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City | KIRKWOOD
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State | MO
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Zip | 63122-5928
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Country | US
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Telephone | 314-965-0864
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Fax |
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Provider Business Mailing Address
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Address Line | 12401 E 43RD ST S STE 201
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City | INDEPENDENCE
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State | MO
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Zip | 64055-5911
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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 | MANAGER
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Name | ELIOT BERGER
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Credential |
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Telephone | 516-277-6218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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