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General NPI Number Information
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NPI Number | 1861478778
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Entity Type | Individual
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Provider Name | PATRICK KEITH GRAY DO
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 11/30/2025
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Provider Practice Location Address
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Address Line | 27100 CHARDON RD
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-1116
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Country | US
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Telephone | 440-585-6500
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Fax | 330-656-5901
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Provider Business Mailing Address
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Address Line | 3131 NEWMARK DR STE 220
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City | MIAMISBURG
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State | OH
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Zip | 45342-5400
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Country | US
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Telephone | 937-438-8910
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34007164G
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License Number State | OH
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