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General NPI Number Information
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NPI Number | 1184246498
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Entity Type | Individual
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Provider Name | LADONNA GRAHAM NATUROPATHIC PRACTIT
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Gender | Female
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 05/11/2020
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Provider Practice Location Address
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Address Line | 1000 SMYRNA CLAYTON BLVD STE 3
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City | SMYRNA
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State | DE
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Zip | 19977-2228
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Country | US
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Telephone | 302-508-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 SMYRNA CLAYTON BLVD STE 3
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City | SMYRNA
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State | DE
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Zip | 19977-2228
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Country | US
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Telephone | 302-508-5511
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 226300000X
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Taxonomy Name | Kinesiotherapist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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