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General NPI Number Information
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NPI Number | 1053642579
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Entity Type | Individual
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Provider Name | SARA GRAF
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Gender | Female
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Dates
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Enumeration Date | 01/22/2010
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Last Update Date | 11/08/2012
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Provider Practice Location Address
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Address Line | 6400 FANNIN ST STE. 2800
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City | HOUSTON
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State | TX
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Zip | 77030-1521
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Country | US
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Telephone | 713-704-7100
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Fax | 713-704-7150
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Provider Business Mailing Address
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Address Line | 6400 FANNIN ST STE. 2800
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City | HOUSTON
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State | TX
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Zip | 77030-1521
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Country | US
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Telephone | 713-704-7100
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Fax | 516-357-0087
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 013734
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA07610
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License Number State | TX
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