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General NPI Number Information
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NPI Number | 1013877596
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Entity Type | Individual
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Provider Name | GRACE YANCEY
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Gender | Female
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 2500 POCOSHOCK PL STE 201
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-6345
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Country | US
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Telephone | 804-276-9305
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Fax | 804-674-4145
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Provider Business Mailing Address
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Address Line | 1510 N 28TH ST STE 308
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City | RICHMOND
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State | VA
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Zip | 23223-5311
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Country | US
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Telephone | 804-764-7885
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Fax | 804-559-6185
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86373794
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License Number State | VA
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