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NPI 1184617177

NPI 1184617177 : GRAZIE P CHRISTIE MD : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1184617177
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    Entity Type          |    Individual 
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    Provider Name        |    GRAZIE P CHRISTIE MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/25/2005
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    Last Update Date     |    06/01/2011
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Provider Practice Location Address
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    Address Line         |    9090 SW 87TH CT 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33176-2305
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    Country              |    US
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    Telephone            |    305-271-8394
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    Fax                  |    786-923-2199
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Provider Business Mailing Address
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    Address Line         |    PO BOX 160608 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33116-0608
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    Country              |    US
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    Telephone            |    305-271-8394
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    Fax                  |    786-923-2199
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    ME0074274
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    License Number State |    FL
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