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General NPI Number Information
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NPI Number | 1245514710
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Entity Type | Individual
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Provider Name | JESSICA B GRAHF RRA,RT(R)(QM)
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Gender | Female
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Dates
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Enumeration Date | 10/03/2011
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 10800 E GEDDES AVE STE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80112-3895
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Country | US
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Telephone | 303-761-9190
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Fax | 720-874-4462
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Provider Business Mailing Address
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Address Line | 10800 E GEDDES AVE STE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80112-3895
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Country | US
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Telephone | 303-761-9190
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Fax | 720-874-4462
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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 | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | 420838
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2471Q0001X
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Taxonomy Name | Quality Management Radiologic Technologist
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License Number | 420838
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 243U00000X
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Taxonomy Name | Radiology Practitioner Assistant
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License Number |
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License Number State | CO
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