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General NPI Number Information
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NPI Number | 1144203514
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Entity Type | Individual
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Provider Name | KATHERINE ELIZABETH MCGRAW M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 04/07/2009
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Provider Practice Location Address
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Address Line | 1200 S BURR ST STE B
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City | MITCHELL
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State | SD
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Zip | 57301-4585
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Country | US
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Telephone | 605-292-0695
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Fax | 605-292-0699
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Provider Business Mailing Address
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Address Line | PO BOX 459
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City | MITCHELL
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State | SD
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Zip | 57301-0459
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Country | US
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Telephone | 605-630-0407
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L9352
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 7119
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License Number State | SD
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