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General NPI Number Information
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NPI Number | 1578296653
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Entity Type | Individual
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Provider Name | GREGORY GRABOWSKI DMD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 2785 TAMIAMI TRL
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5101
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Country | US
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Telephone | 941-625-4421
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Fax |
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Provider Business Mailing Address
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Address Line | 217 CAVALLINI DR
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City | NOKOMIS
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State | FL
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Zip | 34275-1467
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Country | US
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Telephone | 860-707-4199
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN27186
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License Number State | FL
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