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NPI 1952301434

NPI 1952301434 : THOMAS T GRAFF PHD : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1952301434
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS T GRAFF PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/27/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    36 N WEST PKWY 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67206-2446
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    Country              |    US
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    Telephone            |    316-685-8500
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    Fax                  |    316-685-0300
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Provider Business Mailing Address
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    Address Line         |    36 N WEST PKWY 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67206-2446
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    Country              |    US
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    Telephone            |    316-685-8500
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    Fax                  |    316-685-0300
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    576
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    License Number State |    KS
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