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General NPI Number Information
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NPI Number | 1790878494
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Entity Type | Organization
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Legal Business Name | DAVID M GRAHAM MD APC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 305 EAST 8TH STREET
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2311
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Country | US
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Telephone | 619-477-0084
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Fax | 619-477-2066
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Provider Business Mailing Address
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Address Line | 305 EAST 8TH STREET
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2311
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Country | US
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Telephone | 619-477-0084
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Fax | 619-477-2066
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DAVID MICHAEL GRAHAM
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Credential | MD
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Telephone | 619-477-0084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A34436
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License Number State | CA
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