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General NPI Number Information
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NPI Number | 1952506685
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Entity Type | Organization
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Legal Business Name | GROSSINGER NEUROPAIN SPECIALISTS, PA
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 08/01/2008
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Provider Practice Location Address
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Address Line | 4100 DAWNBROOK DR SUITE 4
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City | WILMINGTON
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State | DE
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Zip | 19804-3932
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Country | US
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Telephone | 302-636-0920
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 DAWNBROOK DR SUITE 4
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City | WILMINGTON
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State | DE
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Zip | 19804-3932
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Country | US
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Telephone | 302-636-0920
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | BRUCE H GROSSINGER
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Credential | MD
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Telephone | 302-636-0920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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