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General NPI Number Information
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NPI Number | 1386682243
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Entity Type | Individual
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Provider Name | DEBORAH S GRAF PA
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 462 GRIDER ST
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City | BUFFALO
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State | NY
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Zip | 14215-3021
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Country | US
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Telephone | 716-898-5852
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Fax | 716-898-3187
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Provider Business Mailing Address
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Address Line | 253 ENCHANTED FRST N
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City | LANCASTER
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State | NY
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Zip | 14086-3343
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Country | US
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Telephone | 716-668-3285
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 005399
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License Number State | NY
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