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General NPI Number Information
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NPI Number | 1396659553
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Entity Type | Individual
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Provider Name | ELEXUS GRAVES
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Gender | Female
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 3628 26TH STREET DR NE
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City | HICKORY
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State | NC
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Zip | 28601-7206
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Country | US
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Telephone | 828-222-3749
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Fax |
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Provider Business Mailing Address
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Address Line | 173 GRADUATE LN APT 412
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City | BOONE
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State | NC
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Zip | 28607-5858
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Country | US
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Telephone |
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State | NULL
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