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General NPI Number Information
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NPI Number | 1700981107
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Entity Type | Individual
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Provider Name | CARL N GRAF III MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 1990 E ALGONQUIN ROAD SUITE 160
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City | SCHAUMBURG
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State | IL
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Zip | 60173
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Country | US
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Telephone | 847-303-1200
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Fax | 847-303-1210
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Provider Business Mailing Address
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Address Line | 360 STATION DR SUITE 200
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-7978
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Country | US
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Telephone | 847-303-1200
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Fax | 847-303-1210
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 036108598
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License Number State | IL
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