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General NPI Number Information
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NPI Number | 1427026673
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Entity Type | Organization
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Legal Business Name | SHELLIE L GRAF
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 5164 NORMANDY PARK DR STE 300
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City | MEDINA
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State | OH
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Zip | 44256-5906
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Country | US
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Telephone | 330-723-8880
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Fax | 330-723-0737
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Provider Business Mailing Address
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Address Line | 5164 NORMANDY PARK DR STE 300
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City | MEDINA
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State | OH
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Zip | 44256-5906
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Country | US
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Telephone | 330-723-8880
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Fax | 330-723-0737
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHELLIE L GRAF
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Credential | BOC
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Telephone | 330-723-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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