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General NPI Number Information
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NPI Number | 1952327892
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Entity Type | Individual
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Provider Name | ROBERT GRONAN D.O., P.C.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 HEALTH CIR
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City | LEXINGTON
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State | VA
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Zip | 24450-2448
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Country | US
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Telephone | 540-458-3300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1
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City | LOW MOOR
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State | VA
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Zip | 24457-0001
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Country | US
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Telephone | 304-645-4318
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS-006095-E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0102041280
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 1068
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License Number State | WV
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