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General NPI Number Information
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NPI Number | 1932190519
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Entity Type | Individual
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Provider Name | ALAN W GRUNING D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 13450 PARKER COMMONS BLVD STE 103
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City | FORT MYERS
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State | FL
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Zip | 33912-1834
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Country | US
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Telephone | 239-939-3303
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Fax |
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Provider Business Mailing Address
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Address Line | 6900 DANIELS PKWY STE 29-173
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City | FORT MYERS
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State | FL
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Zip | 33912-7513
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Country | US
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Telephone | 239-939-3303
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | V3602
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 202401664
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TW00530
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS5181
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License Number State | FL
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