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General NPI Number Information
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NPI Number | 1891015640
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Entity Type | Organization
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Legal Business Name | HOWARD M. GRAUBARD, MD, PA
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 04/15/2013
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Provider Practice Location Address
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Address Line | 603 N FLAMINGO RD STE 365
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1013
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Country | US
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Telephone | 954-435-6988
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Fax | 954-435-4466
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Provider Business Mailing Address
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Address Line | 603 N FLAMINGO RD STE 365
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1013
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Country | US
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Telephone | 954-435-6988
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Fax | 954-435-4466
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. BETH ANN SMITH
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Credential |
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Telephone | 954-435-6988
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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 | ME41669
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License Number State | FL
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