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General NPI Number Information
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NPI Number | 1326080524
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Entity Type | Individual
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Provider Name | HOWARD LEE GRAEF D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 330 E 14 MILE RD SUITE A
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City | CLAWSON
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State | MI
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Zip | 48017-2137
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Country | US
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Telephone | 248-589-2021
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Fax |
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Provider Business Mailing Address
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Address Line | 10735 TALBOT AVE
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City | HUNTINGTON WOODS
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State | MI
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Zip | 48070-1138
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Country | US
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Telephone | 248-548-8823
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901013151
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License Number State | MI
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