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NPI 1750570578

NPI 1750570578 : PATRICIA A. GRABINSKI DC PC : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1750570578
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    Entity Type          |    Organization 
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    Legal Business Name  |    PATRICIA A. GRABINSKI DC PC 
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Dates
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    Enumeration Date     |    10/17/2007
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    Last Update Date     |    02/01/2012
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Provider Practice Location Address
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    Address Line         |    8163 E 21ST ST 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46219-2513
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    Country              |    US
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    Telephone            |    317-897-4494
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    Fax                  |    317-897-5490
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Provider Business Mailing Address
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    Address Line         |    8163 E 21ST ST 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46219-2513
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    Country              |    US
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    Telephone            |    317-897-4494
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    Fax                  |    317-897-5490
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. PATRICIA A GRABINSKI 
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    Credential           |    D.C.
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    Telephone            |    317-897-4494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    08001511A
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    License Number State |    IN
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