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General NPI Number Information
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NPI Number | 1922432269
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Entity Type | Organization
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Legal Business Name | N. TORSTEN GRAYBILL, MD, INC
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 2031 W ALAMEDA AVE SUITE 200
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City | BURBANK
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State | CA
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Zip | 91506-2958
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Country | US
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Telephone | 818-842-4111
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Fax | 818-842-4108
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Provider Business Mailing Address
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Address Line | 2031 W ALAMEDA AVE SUITE 200
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City | BURBANK
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State | CA
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Zip | 91506-2958
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Country | US
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Telephone | 818-842-4111
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Fax | 818-842-4108
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Authorized Official
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Title or Position | PHYSIAN/OWNER
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Name | DR. NIELS TORSTEN GRAYBILL
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Credential | M.D.
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Telephone | 818-842-4111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A67072
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License Number State | CA
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