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General NPI Number Information
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NPI Number | 1316927569
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Entity Type | Individual
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Provider Name | REBECCA SUE GRAUL CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/21/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 4647 ZION AVE
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City | SAN DIEGO
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State | CA
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Zip | 92120-2507
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Country | US
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Telephone | 619-528-5288
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Fax |
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Provider Business Mailing Address
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Address Line | 930 CAMINO DE LA REINA
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City | SAN DIEGO
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State | CA
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Zip | 92108-3254
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Country | US
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Telephone | 619-255-9368
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 340829
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License Number State | CA
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