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General NPI Number Information
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NPI Number | 1114863594
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Entity Type | Organization
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Legal Business Name | GRACEFUL HARMONY MEDSPA & WELLNESS LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 7301 RIVERS AVE STE 182
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4650
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Country | US
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Telephone | 843-225-5760
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Fax |
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Provider Business Mailing Address
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Address Line | 7301 RIVERS AVE STE 182
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4650
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Country | US
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Telephone | 843-225-5760
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | TABIA HOLMES
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Credential | APRN-C
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Telephone | 854-444-9552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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