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General NPI Number Information
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NPI Number | 1992665723
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Entity Type | Organization
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Legal Business Name | GR&W, INC
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 1005 WHITE WILLOW WAY
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City | MORGANTOWN
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State | WV
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Zip | 26505-6119
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Country | US
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Telephone | 304-460-5123
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Fax | 800-734-8498
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Provider Business Mailing Address
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Address Line | 500 ROSS ST 154-0455
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City | PITTSBURGH
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State | PA
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Zip | 15262-0001
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Country | US
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Telephone | 508-663-3852
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Fax | 508-492-2963
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Authorized Official
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Title or Position | CREDENTIALING SUPERVISOR
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Name | STACY RENEE GENZLER
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Credential |
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Telephone | 508-663-3852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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