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General NPI Number Information
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NPI Number | 1952686040
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Entity Type | Organization
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Legal Business Name | GRUBB CONSULTING SERVICES, INC.
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Dates
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Enumeration Date | 10/20/2011
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Last Update Date | 10/20/2011
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Provider Practice Location Address
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Address Line | 2847 GLENMORE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15216
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Country | US
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Telephone | 412-341-3255
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7944
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City | PITTSBURGH
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State | PA
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Zip | 15216
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Country | US
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Telephone | 412-277-0464
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Fax | 412-341-1704
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD DALE GRUBB
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Credential | PH.D.
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Telephone | 412-277-0464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS003292L
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License Number State | PA
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