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General NPI Number Information
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NPI Number | 1710587977
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Entity Type | Individual
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Provider Name | SARAH GRAEGIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 3134 E 79TH AVE
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5738
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Country | US
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Telephone | 219-947-3789
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Fax | 219-947-5790
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Provider Business Mailing Address
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Address Line | 17336 MICHAEL DR
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City | LOWELL
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State | IN
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Zip | 46356-7512
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Country | US
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Telephone | 219-688-7892
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26023210A
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License Number State | IN
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