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General NPI Number Information
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NPI Number | 1144046772
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Entity Type | Organization
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Legal Business Name | EMERGING GRACE MINISTRIES, INC.
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 20397 RED OAK DR
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City | CLEVELAND
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State | TX
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Zip | 77328-2956
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Country | US
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Telephone | 936-337-1103
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Fax |
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Provider Business Mailing Address
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Address Line | 27708 TOMBALL PKWY #125
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City | TOMBALL
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State | TX
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Zip | 77375
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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 | CEO
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Name | GAETINA STAHL
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Credential |
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Telephone | 936-337-1103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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