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General NPI Number Information
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NPI Number | 1780894196
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Entity Type | Individual
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Provider Name | ROGER DALE GRABEN R.PH., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 438 E MILL RD
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City | LINEVILLE
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State | AL
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Zip | 36266-3608
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Country | US
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Telephone | 256-239-9373
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Fax | 256-396-5241
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Provider Business Mailing Address
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Address Line | 438 E MILL RD
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City | LINEVILLE
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State | AL
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Zip | 36266-3608
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Country | US
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Telephone | 256-239-9373
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Fax | 256-396-5241
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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 | 10883
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 10883
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License Number State | AL
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