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General NPI Number Information
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NPI Number | 1114125036
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Entity Type | Individual
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Provider Name | RETA BRASHEARS GRAHAM MD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 100 HOSPITAL DR
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-5272
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Country | US
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Telephone | 828-681-2115
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Fax |
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Provider Business Mailing Address
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Address Line | 101 CUMBERLAND AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-1711
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Country | US
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Telephone |
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 200500195
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 200500195
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 200500195
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License Number State | NC
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