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NPI 1194753996

NPI 1194753996 : DAVID B GRAYBILL D.O. : ARLINGTON, TX

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General NPI Number Information
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    NPI Number           |    1194753996
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID B GRAYBILL D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/29/2006
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    Last Update Date     |    10/01/2024
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Provider Practice Location Address
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    Address Line         |    800 ORTHOPEDIC WAY 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76015-1629
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    Country              |    US
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    Telephone            |    817-375-5200
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    Fax                  |    817-299-1708
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Provider Business Mailing Address
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    Address Line         |    PO BOX 35232 
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    City                 |    BELFAST
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    State                |    ME
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    Zip                  |    04915-0630
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    Country              |    US
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    Telephone            |    817-375-5200
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    Fax                  |    817-299-1708
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    F8132
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    208VP0014X
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    Taxonomy Name        |    Interventional Pain Medicine Physician
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    License Number       |    F8132
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    F8132
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    License Number State |    TX
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