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General NPI Number Information
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NPI Number | 1730529322
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Entity Type | Individual
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Provider Name | DIANA NICOLE GRAUE L.AC, CMT
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Gender | Female
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Dates
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Enumeration Date | 06/27/2013
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 350 SANSOME ST STE 730
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-1312
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Country | US
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Telephone | 415-890-5583
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Fax |
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Provider Business Mailing Address
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Address Line | 1630 PAGE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-2020
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Country | US
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Telephone | 510-332-0060
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 15426
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License Number State | CA
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