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General NPI Number Information
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NPI Number | 1588087571
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Entity Type | Individual
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Provider Name | LAURA GRAZE DNP
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Gender | Female
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 528 SE OSCEOLA ST STE 1B
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City | STUART
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State | FL
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Zip | 34994-2366
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Country | US
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Telephone | 772-241-7880
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Fax | 772-403-9042
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Provider Business Mailing Address
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Address Line | 600 NE BAYBERRY LN
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City | JENSEN BEACH
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State | FL
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Zip | 34957-6824
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Country | US
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Telephone | 772-800-9796
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Fax | 772-521-9937
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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 | ARNP9377327
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License Number State | FL
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