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General NPI Number Information
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NPI Number | 1528280948
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Entity Type | Individual
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Provider Name | STUART GRABER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 09/13/2009
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Provider Practice Location Address
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Address Line | 3505 HILL BLVD
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-1283
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Country | US
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Telephone | 914-245-3103
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Fax |
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Provider Business Mailing Address
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Address Line | 631 LONG RIDGE RD UNIT 23
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City | STAMFORD
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State | CT
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Zip | 06902-1258
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Country | US
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Telephone | 914-391-5251
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 030324
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License Number State | NY
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