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General NPI Number Information
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NPI Number | 1093938250
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Entity Type | Individual
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Provider Name | KATRINA ELIZABETH GRABLIN P.A-C
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 13081 HIGHWAY 9 N
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City | ALPHARETTA
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State | GA
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Zip | 30004-5150
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Country | US
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Telephone | 770-521-6690
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Fax |
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Provider Business Mailing Address
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Address Line | 6665 WILL ALLEN RD
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City | CUMMING
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State | GA
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Zip | 30040-6559
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Country | US
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Telephone | 229-603-1683
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5837
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License Number State | GA
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