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General NPI Number Information
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NPI Number | 1295788503
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Entity Type | Individual
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Provider Name | NIRUTISAI K GRAFF MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 05/27/2015
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Provider Practice Location Address
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Address Line | 175 MARTIN AVE SUITE 320
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City | EPHRATA
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State | PA
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Zip | 17522-1761
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Country | US
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Telephone | 717-721-5800
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Fax | 717-721-5858
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Provider Business Mailing Address
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Address Line | 4131 OREGON PIKE SUITE C
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City | EPHRATA
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State | PA
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Zip | 17522-9550
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Country | US
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Telephone | 717-859-5161
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Fax | 717-859-5169
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | D63524
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | MD430668
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License Number State | PA
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