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General NPI Number Information
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NPI Number | 1225104805
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Entity Type | Individual
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Provider Name | FRANK RON GRAZIANO LICSW
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Gender | Male
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 331 BROADWAY
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City | PROVIDENCE
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State | RI
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Zip | 02909-1101
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Country | US
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Telephone | 401-575-8428
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Fax |
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Provider Business Mailing Address
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Address Line | 37E FLINTLOCK RD
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City | LEDYARD
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State | CT
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Zip | 06339-4948
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Country | US
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Telephone | 860-245-0501
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW01526
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License Number State | RI
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