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General NPI Number Information
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NPI Number | 1306045356
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Entity Type | Organization
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Legal Business Name | ROBERT E GRASER DPM, PA
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 34910 INTERSTATE 10 W STE 502
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City | BOERNE
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State | TX
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Zip | 78006-9230
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Country | US
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Telephone | 830-253-0008
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Fax | 830-253-0007
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Provider Business Mailing Address
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Address Line | 34910 INTERSTATE 10 W STE 502
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City | BOERNE
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State | TX
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Zip | 78006-9230
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Country | US
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Telephone | 830-253-0008
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Fax | 830-253-0007
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Authorized Official
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Title or Position | ADMINISTRATOR / AUTHORIZED OFFICIAL
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Name | AIDA ARACELY GRASER
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Credential |
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Telephone | 830-331-8017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 1208
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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