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General NPI Number Information
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NPI Number | 1942506530
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Entity Type | Organization
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Legal Business Name | GRABOW MEDICAL GROUP
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 07/26/2012
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Provider Practice Location Address
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Address Line | 400 N TUSTIN AVE SUITE 470
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City | SANTA ANA
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State | CA
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Zip | 92705-3813
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Country | US
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Telephone | 714-242-4224
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Fax | 714-380-6300
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Provider Business Mailing Address
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Address Line | DEPT LA 23881
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City | PASADENA
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State | CA
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Zip | 91185-0001
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Country | US
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Telephone | 714-242-4224
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Fax | 714-380-6300
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MISS KIM CAO
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Credential |
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Telephone | 714-242-4224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | G66481
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License Number State | CA
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