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General NPI Number Information
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NPI Number | 1699972653
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Entity Type | Organization
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Legal Business Name | DRS GRABOIS FIRESTONE AND LEBOW PA
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 21110 BISCAYNE BLVD STE 312
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City | AVENTURA
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State | FL
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Zip | 33180-1229
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Country | US
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Telephone | 305-933-3030
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Fax | 305-933-1434
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Provider Business Mailing Address
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Address Line | 21110 BISCAYNE BLVD STE 312
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City | AVENTURA
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State | FL
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Zip | 33180-1229
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Country | US
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Telephone | 305-933-3030
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Fax | 305-933-1434
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. B.MITCHELL GRABOIS
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Credential | MD
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Telephone | 305-933-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME47978
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME43945
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License Number State | FL
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