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General NPI Number Information
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NPI Number | 1922547496
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Entity Type | Individual
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Provider Name | STEPHEN GRATER CNP
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Gender | Male
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 970 E WASHINGTON ST STE 3A
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City | MEDINA
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State | OH
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Zip | 44256-2181
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Country | US
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Telephone | 330-721-5700
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Fax | 330-721-5710
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Provider Business Mailing Address
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Address Line | 525 E MARKET ST
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City | AKRON
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State | OH
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Zip | 44304-1619
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Country | US
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Telephone |
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | APRN.CNP.020482
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN.CNP.020482
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License Number State | OH
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