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General NPI Number Information
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NPI Number | 1689162174
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Entity Type | Organization
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Legal Business Name | CHARLES RAYMOND GRAHAM III
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Dates
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Enumeration Date | 04/30/2018
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Last Update Date | 04/03/2020
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Provider Practice Location Address
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Address Line | 3025 IONA TER
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City | BALTIMORE
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State | MD
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Zip | 21214-3413
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Country | US
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Telephone | 410-426-8223
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Fax |
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Provider Business Mailing Address
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Address Line | 3025 IONA TER
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City | BALTIMORE
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State | MD
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Zip | 21214-3413
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Country | US
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Telephone | 410-426-8223
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MR. CHARLES RAYMOND GRAHAM III
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Credential | M.AC., L.AC., DIPL.A
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Telephone | 410-426-8223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U01122
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License Number State | MD
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