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General NPI Number Information
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NPI Number | 1093906851
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Entity Type | Organization
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Legal Business Name | A. RICHARD GRAHAM, MD PLLC
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 08/07/2007
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Provider Practice Location Address
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Address Line | 1600 116TH AVE NE #104
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City | BELLEVUE
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State | WA
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Zip | 98004-3014
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Country | US
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Telephone | 425-454-5758
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 116TH AVE NE #104
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City | BELLEVUE
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State | WA
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Zip | 98004-3014
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Country | US
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Telephone | 425-454-5758
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NITA L. HARMS
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Credential |
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Telephone | 425-454-0345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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