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General NPI Number Information
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NPI Number | 1528277738
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Entity Type | Organization
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Legal Business Name | JOHN P. GRAZIANO DENTISTRY, PLLC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | 7501 FORT HAMILTON PARKWAY
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City | BROOKLYN
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State | NY
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Zip | 11228-2305
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Country | US
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Telephone | 718-833-0672
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Fax | 718-833-6639
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Provider Business Mailing Address
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Address Line | 7501 FORT HAMILTON PARKWAY
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City | BROOKLYN
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State | NY
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Zip | 11228-2305
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Country | US
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Telephone | 718-833-0672
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Fax | 718-833-6639
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. JOHN P. GRAZIANO
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Credential | DDS
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Telephone | 718-833-0672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 030171DRJOHNGRAZIANO
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 030171
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License Number State | NY
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