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General NPI Number Information
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NPI Number | 1063598506
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Entity Type | Individual
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Provider Name | PAMELA JOY GRABER M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 05/17/2010
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Provider Practice Location Address
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Address Line | 8503 NORTHTON GROVES BLVD
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City | ODESSA
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State | FL
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Zip | 33556-1402
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Country | US
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Telephone | 859-684-5864
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Fax |
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Provider Business Mailing Address
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Address Line | 8503 NORTHTON GROVES BLVD
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City | ODESSA
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State | FL
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Zip | 33556-1402
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Country | US
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Telephone | 859-684-5864
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 24332
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License Number State | KY
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