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General NPI Number Information
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NPI Number | 1194687863
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Entity Type | Organization
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Legal Business Name | GRAHAM FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1002 NE HIGHWAY 66 STE 2
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City | SAYRE
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State | OK
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Zip | 73662-9312
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Country | US
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Telephone | 580-928-2208
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Fax | 580-209-4633
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Provider Business Mailing Address
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Address Line | PO BOX 640230
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City | DALLAS
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State | TX
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Zip | 75264-0230
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Country | US
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Telephone | 405-873-8291
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Fax | 580-209-4633
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | RANDY KERR
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Credential | VP
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Telephone | 405-209-4633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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