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General NPI Number Information
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NPI Number | 1023755055
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Entity Type | Individual
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Provider Name | ERIKA NICOLE GRABER PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/20/2022
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 763 E US HIGHWAY 80 STE 125
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City | FORNEY
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State | TX
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Zip | 75126-8633
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Country | US
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Telephone | 469-602-5737
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Fax | 214-853-5366
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Provider Business Mailing Address
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Address Line | 12230 BROOKMEADOW LN
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City | DALLAS
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State | TX
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Zip | 75218-1308
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Country | US
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Telephone | 469-396-6628
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA15676
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License Number State | TX
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