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General NPI Number Information
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NPI Number | 1114554698
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Entity Type | Individual
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Provider Name | CARL WESLEY MCGRAW JR. DO
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Gender | Male
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 1729 KINNEYS LN STE 202
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3167
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Country | US
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Telephone | 740-353-8100
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Fax | 740-353-8908
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Provider Business Mailing Address
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Address Line | 500 UNIVERSITY DR MC CA410
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City | HERSHEY
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State | PA
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Zip | 17033-2360
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Country | US
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Telephone | 800-243-1455
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS024218
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 34.017895
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | OS024218
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 34.017895
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License Number State | OH
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