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Individual
MRS. TAYLOR ELLEN GROAT
Active
Individual
MRS. TAYLOR ELLEN GROAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022174
NY
208M00000X
Hospitalist Physician
022174
NY
Other
Enumeration date
07/09/2018
Last updated
08/03/2023
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