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General NPI Number Information
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NPI Number | 1063549996
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Entity Type | Individual
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Provider Name | CARIN HANNA GRIBETZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 01/26/2010
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Provider Practice Location Address
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Address Line | 108 E 86TH ST SUITE 1N
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City | NEW YORK
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State | NY
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Zip | 10028-1024
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Country | US
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Telephone | 212-289-3300
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Fax | 212-996-5707
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Provider Business Mailing Address
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Address Line | 151 EAST 85TH STREET, APT. 6E
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City | NEW YORK
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State | NY
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Zip | 10028-0208
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Country | US
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Telephone | 212-996-8761
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 222165
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License Number State | NY
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