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General NPI Number Information
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NPI Number | 1144697038
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Entity Type | Individual
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Provider Name | LINDSAY GRAVES DDS, MD
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Gender | Female
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 02/18/2024
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Provider Practice Location Address
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Address Line | 4 HOSPITAL DR
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City | ABILENE
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State | TX
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Zip | 79606-5289
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Country | US
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Telephone | 324-437-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 3309 ACE
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City | ABILENE
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State | TX
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Zip | 79606-5003
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Country | US
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Telephone | 310-806-2685
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 64944
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 32712
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License Number State | TX
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