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General NPI Number Information
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NPI Number | 1184714560
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Entity Type | Individual
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Provider Name | SYLVIA ANN GRABER ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 05/05/2011
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Provider Practice Location Address
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Address Line | 111 W WASHINGTON ST
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City | NEW LONDON
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State | IA
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Zip | 52645-1329
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Country | US
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Telephone | 319-367-2241
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Fax | 319-367-0549
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Provider Business Mailing Address
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Address Line | PO BOX 118
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City | NEW LONDON
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State | IA
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Zip | 52645-0118
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Country | US
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Telephone | 319-367-2241
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Fax | 319-367-0549
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A099739
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License Number State | IA
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