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General NPI Number Information
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NPI Number | 1780986281
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Entity Type | Organization
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Legal Business Name | CAROL J GRABOWSKI, M.D., INC.
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Dates
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Enumeration Date | 12/03/2010
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Last Update Date | 12/03/2010
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Provider Practice Location Address
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Address Line | 2865 ATLANTIC AVENUE SUITE 204
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City | LONG BEACH
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State | CA
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Zip | 90806
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Country | US
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Telephone | 562-595-5056
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Fax | 562-595-6295
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Provider Business Mailing Address
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Address Line | 2865 ATLANTIC AVENUE SUITE 204
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City | LONG BEACH
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State | CA
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Zip | 90806
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Country | US
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Telephone | 562-595-5056
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Fax | 562-595-6295
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Authorized Official
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Title or Position | OWNER
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Name | DR. CAROL J GRABOWSKI
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Credential | M.D.
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Telephone | 562-595-5056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G54514
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License Number State | CA
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