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General NPI Number Information
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NPI Number | 1861602765
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Entity Type | Organization
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Legal Business Name | ROBERT A. GRAHAM MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 728 E BULLARD AVE STE 101
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City | FRESNO
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State | CA
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Zip | 93710-5474
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Country | US
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Telephone | 559-432-3040
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Fax | 559-432-3040
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Provider Business Mailing Address
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Address Line | 728 E BULLARD AVE STE 101
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City | FRESNO
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State | CA
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Zip | 93710-5474
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Country | US
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Telephone | 559-432-3040
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Fax | 559-432-3040
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | ROMINA R. ROMERO
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Credential |
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Telephone | 559-916-2440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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