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General NPI Number Information
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NPI Number | 1134262439
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Entity Type | Organization
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Legal Business Name | GRACE REQUIRES UNDERSTANDING INC.
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 741 N ALAMEDA BLVD STE 12
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City | LAS CRUCES
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State | NM
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Zip | 88005-2193
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Country | US
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Telephone | 505-526-2935
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Fax |
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Provider Business Mailing Address
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Address Line | 741 N ALAMEDA BLVD STE 12
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City | LAS CRUCES
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State | NM
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Zip | 88005-2193
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Country | US
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Telephone | 505-526-2935
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. EDWARD RUIZ
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Credential |
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Telephone | 505-526-2935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 02401843000
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License Number State | NM
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