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General NPI Number Information
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NPI Number | 1134011000
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Entity Type | Organization
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Legal Business Name | WITH GRACE CASE MANAGEMENT
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 8201 ARROWRIDGE BLVD STE 107
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City | CHARLOTTE
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State | NC
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Zip | 28273-5873
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Country | US
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Telephone | 215-668-5932
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Fax |
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Provider Business Mailing Address
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Address Line | 8201 ARROWRIDGE BLVD STE 107
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City | CHARLOTTE
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State | NC
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Zip | 28273-5873
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REGISTER NURSE
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Name | RONEISHA STARKS
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Credential | RN
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Telephone | 215-668-5932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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