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General NPI Number Information
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NPI Number | 1134036940
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Entity Type | Organization
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Legal Business Name | GRACE FAMILY AND COMMUNITY HEALTH, LLC
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 3420 N GRIMES ST
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City | HOBBS
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State | NM
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Zip | 88240-1900
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Country | US
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Telephone | 575-942-3309
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Fax |
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Provider Business Mailing Address
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Address Line | 2210 W MARLAND ST
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City | HOBBS
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State | NM
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Zip | 88240-8641
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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 | OWNER/PROVIDER
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Name | ENEDINA GRACIA
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Credential | APRN, MSN, FNP-C
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Telephone | 575-441-3103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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