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General NPI Number Information
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NPI Number | 1114731684
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Entity Type | Individual
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Provider Name | EMILY MAE GRAYBILL PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1703 INNOVATION DR
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City | YORK
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State | PA
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Zip | 17408-8815
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Country | US
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Telephone | 717-801-0765
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Fax |
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Provider Business Mailing Address
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Address Line | 1722 LEOLYN ST
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City | PITTSBURGH
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State | PA
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Zip | 15210-3976
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Country | US
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Telephone | 814-442-2211
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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 | MA066408
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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