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General NPI Number Information
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NPI Number | 1043524127
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Entity Type | Organization
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Legal Business Name | GRACE HEALTHCARE SOLUTIONS, INC.
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 7368 STATE ROAD 15, US 441
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City | PAHOKEE
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State | FL
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Zip | 33476
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Country | US
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Telephone | 561-993-6004
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Fax | 561-993-1111
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Provider Business Mailing Address
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Address Line | 217 W AVENUE A
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City | BELLE GLADE
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State | FL
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Zip | 33430-3019
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Country | US
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Telephone | 561-993-6004
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Fax | 561-993-1111
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. KEITH WAYNE HURBS
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Credential |
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Telephone | 561-993-6004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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