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General NPI Number Information
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NPI Number | 1588668099
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Entity Type | Individual
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Provider Name | WILLIAM HOWARD GRAHAM MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2600 S PARKER RD BLDG 2 SUITE 221
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City | AURORA
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State | CO
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Zip | 80014
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Country | US
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Telephone | 303-752-2082
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Fax |
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Provider Business Mailing Address
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Address Line | 9260G E JEWELL CIR
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City | DENVER
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State | CO
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Zip | 80231-5729
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Country | US
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Telephone | 303-755-0190
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Fax | 303-752-9967
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 16235
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License Number State | CO
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