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General NPI Number Information
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NPI Number | 1215802319
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Entity Type | Organization
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Legal Business Name | GRACE MINDCARE PC
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 617 EASTLAKE AVE E STE 410
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City | SEATTLE
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State | WA
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Zip | 98109-5681
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Country | US
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Telephone | 206-312-5373
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Fax |
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Provider Business Mailing Address
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Address Line | 617 EASTLAKE AVE E STE 410
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City | SEATTLE
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State | WA
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Zip | 98109-5681
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Country | US
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Telephone | 206-312-5373
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Fax |
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Authorized Official
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Title or Position | COO
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Name | NAKYUNG CHOE
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Credential |
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Telephone | 206-207-2310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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