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General NPI Number Information
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NPI Number | 1063613404
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Entity Type | Organization
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Legal Business Name | ROBERT A. GRAEBE, M.D., LLC
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1131 BROAD ST 104
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4329
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Country | US
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Telephone | 732-460-1073
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Fax | 732-460-1076
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Provider Business Mailing Address
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Address Line | 1131 BROAD ST 104
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4329
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Country | US
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Telephone | 732-460-1073
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Fax | 732-460-1076
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Authorized Official
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Title or Position | PRACTICE ADM
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Name | NANCY GRAEBE
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Credential |
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Telephone | 732-460-1073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 25MA03861600
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License Number State | NJ
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