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General NPI Number Information
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NPI Number | 1194463331
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Entity Type | Organization
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Legal Business Name | TRUGRACE HEALTHCARE
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 12504 KINGSVIEW ST
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City | BOWIE
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State | MD
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Zip | 20721-2027
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Country | US
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Telephone | 443-648-1859
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Fax |
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Provider Business Mailing Address
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Address Line | 12504 KINGSVIEW ST
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City | BOWIE
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State | MD
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Zip | 20721-2027
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Country | US
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Telephone | 443-648-1859
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Fax |
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Authorized Official
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Title or Position | ADMINITRATOR
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Name | LINDA BOAH
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Credential |
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Telephone | 443-648-1859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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