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General NPI Number Information
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NPI Number | 1083521843
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Entity Type | Individual
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Provider Name | GABRIELLE GRAHAM APRN-FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | CHRISTUS TRINITY MOTHER FRANCIS 1509 TX-19
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City | ATHENS
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State | TX
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Zip | 75751
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Country | US
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Telephone | 903-606-4262
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Fax |
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Provider Business Mailing Address
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Address Line | 391 FREDERICK CIR
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City | FLINT
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State | TX
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Zip | 75762-9009
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Country | US
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Telephone | 903-606-4262
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 1118168
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License Number State | TX
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