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General NPI Number Information
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NPI Number | 1396856472
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Entity Type | Organization
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Legal Business Name | GRABEMAN & STRIEBEL PLL
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6 SYCAMORE CREEK DR SUITE C
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City | SPRINGBORO
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State | OH
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Zip | 45066-2300
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Country | US
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Telephone | 937-748-8250
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Fax | 937-748-1402
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Provider Business Mailing Address
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Address Line | 6 C SYCAMORE CREEK DRIVE
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City | SPRINGBORO
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State | OH
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Zip | 45066-2300
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Country | US
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Telephone | 937-748-8250
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Fax | 937-748-1402
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Authorized Official
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Title or Position | PARTNER OWNER DENTIST
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Name | DR. BRYAN JOSEPH NICKELL
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Credential | DDS
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Telephone | 937-748-8250
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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 |
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License Number State | OH
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