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General NPI Number Information
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NPI Number | 1144972472
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Entity Type | Organization
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Legal Business Name | GRACE MIRACLE HHC INC
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Dates
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Enumeration Date | 01/18/2022
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Last Update Date | 01/18/2022
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Provider Practice Location Address
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Address Line | 3604 MILLER RD
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City | WILMINGTON
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State | DE
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Zip | 19802-2524
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Country | US
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Telephone | 303-257-1079
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Fax |
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Provider Business Mailing Address
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Address Line | 35 DALE CT
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City | NEWARK
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State | DE
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Zip | 19702-4003
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Country | US
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Telephone | 302-257-1079
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MS. VICTORIA LAMPTEY
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Credential |
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Telephone | 302-257-1079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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