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General NPI Number Information
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NPI Number | 1639186711
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Entity Type | Organization
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Legal Business Name | THE PEDIATRIC GROUP AND FAMILIES TOO, LLC
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2225 DEFENSE HIGHWAY F
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City | CROFTON
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State | MD
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Zip | 21114
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Country | US
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Telephone | 410-721-2273
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6429
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City | ANNAPOLIS
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State | MD
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Zip | 21401-0429
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT G. GRAW JR.
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Credential | M.D.
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Telephone | 410-721-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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