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General NPI Number Information
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NPI Number | 1295917409
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Entity Type | Organization
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Legal Business Name | KAREN R GRASSIE MD INC
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 50 NORMANDY DR SUITE 4
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City | PAINESVILLE
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State | OH
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Zip | 44077-1600
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Country | US
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Telephone | 440-352-0646
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Fax | 440-352-0648
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Provider Business Mailing Address
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Address Line | 50 NORMANDY DR SUITE 4
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City | PAINESVILLE
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State | OH
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Zip | 44077-1600
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Country | US
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Telephone | 440-352-0646
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Fax | 440-352-0648
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KAREN R GRASSIE
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Credential | M.D.
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Telephone | 440-352-0646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | OH
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