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General NPI Number Information
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NPI Number | 1508284191
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Entity Type | Organization
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Legal Business Name | GRABOWSKI OCULAR PROSTHETICS LLC
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 300 E MINERAL KING AVE SUITE 202
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City | VISALIA
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State | CA
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Zip | 93291-6923
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Country | US
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Telephone | 559-625-3937
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Fax | 559-625-3942
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Provider Business Mailing Address
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Address Line | 300 E MINERAL KING AVE SUITE 202
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City | VISALIA
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State | CA
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Zip | 93291-6923
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Country | US
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Telephone | 559-625-3937
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Fax | 559-625-3942
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Authorized Official
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Title or Position | MEMBER
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Name | MR. BRIAN EDWARD GRABOWSKI
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Credential | BCO BADO
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Telephone | 559-625-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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