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General NPI Number Information
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NPI Number | 1982941944
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Entity Type | Individual
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Provider Name | ROGER GRABACH RPH
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Gender | Male
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Dates
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Enumeration Date | 01/10/2013
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 1255 US 1
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City | VERO BEACH
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State | FL
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Zip | 32960-5729
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Country | US
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Telephone | 772-778-4771
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Fax | 772-778-6954
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Provider Business Mailing Address
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Address Line | 1255 US 1
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City | VERO BEACH
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State | FL
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Zip | 32960-5729
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Country | US
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Telephone | 772-778-4771
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Fax | 772-778-6954
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS17521
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License Number State | FL
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