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General NPI Number Information
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NPI Number | 1578607024
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Entity Type | Individual
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Provider Name | CYNTHIA JEAN GRABSKI F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 02/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 CAMPUS DR CAMPUS CENTER 217
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City | MARCY
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State | NY
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Zip | 13403
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Country | US
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Telephone | 315-792-7172
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3050
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City | UTICA
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State | NY
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Zip | 13504-3050
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Country | US
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Telephone | 315-792-7172
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 33-332663
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License Number State | NY
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