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General NPI Number Information
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NPI Number | 1922309178
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Entity Type | Individual
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Provider Name | TRUDY CHERI GROSSMAN FNP-BC, APRN
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Gender | Female
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2710 48TH STREET SOUTH
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City | GULFPORT
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State | FL
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Zip | 33711
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Country | US
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Telephone | 727-492-0117
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Fax | 813-635-7943
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Provider Business Mailing Address
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Address Line | 2710 48TH STREET SOUTH
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City | GULFPORT
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State | FL
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Zip | 33711
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Country | US
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Telephone | 727-492-0117
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Fax | 813-635-7943
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN9227290
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License Number State | FL
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