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General NPI Number Information
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NPI Number | 1720053127
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Entity Type | Organization
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Legal Business Name | PATRICK J GRABLIN MD PA
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 08/16/2018
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Provider Practice Location Address
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Address Line | 530 5TH ST E
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City | BRADENTON
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State | FL
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Zip | 34208
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Country | US
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Telephone | 941-744-9200
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Fax | 941-744-9201
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Provider Business Mailing Address
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Address Line | 530 5TH ST E
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City | BRADENTON
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State | FL
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Zip | 34208-2002
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Country | US
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Telephone | 941-744-9200
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Fax | 941-744-9201
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK J GRABLIN
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Credential | MD
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Telephone | 941-744-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME66545
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License Number State | FL
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