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General NPI Number Information
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NPI Number | 1003350109
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Entity Type | Individual
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Provider Name | DR. STEPHEN SCOTT GRABNER II
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Gender | Male
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Dates
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Enumeration Date | 12/07/2016
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | WILFORD HALL AMBULATORY SURGICAL CENTER 1100 WILFORD HALL LOOP
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City | JBSA-LACKLAND
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State | TX
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Zip | 78236
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Country | US
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Telephone | 210-652-2448
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Fax |
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Provider Business Mailing Address
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Address Line | 18230 E SILVER CREEK AVE BLDG 392
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City | BUCKLEY AFB
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State | CO
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Zip | 80011-9501
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Country | US
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Telephone | 720-847-6451
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 06297
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License Number State | MD
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