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General NPI Number Information
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NPI Number | 1063405496
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Entity Type | Individual
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Provider Name | STEPHEN GRAYSON MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 400 E MAIN ST NORTHERN WESTCHESTER HOSPITAL EMERGENCY DEPT
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3417
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Country | US
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Telephone | 914-666-1254
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Fax | 914-666-1268
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Provider Business Mailing Address
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Address Line | 400 E MAIN ST NORTHERN WESTCHESTER HOSPITAL, MEDICAL AFFAIRS
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3417
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Country | US
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Telephone | 914-666-1200
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Fax | 914-666-1965
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 133867
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License Number State | NY
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