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General NPI Number Information
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NPI Number | 1992907463
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Entity Type | Organization
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Legal Business Name | G E GROVES MD PA
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 740 HOSPITAL DR STE 220
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City | BEAUMONT
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State | TX
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Zip | 77701-4664
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Country | US
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Telephone | 409-832-4900
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Fax | 409-832-4940
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Provider Business Mailing Address
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Address Line | 740 HOSPITAL DR STE 220
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City | BEAUMONT
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State | TX
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Zip | 77701-4664
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Country | US
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Telephone | 409-832-4900
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Fax | 409-832-4940
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Authorized Official
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Title or Position | PA
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Name | GEORGE E GROVES
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Credential | MD
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Telephone | 409-832-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | H5172
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License Number State | TX
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