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General NPI Number Information
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NPI Number | 1235250234
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Entity Type | Organization
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Legal Business Name | GRADY MAGURES, INC
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1139 GRAY AVE STE. B
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City | YUBA CITY
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State | CA
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Zip | 95991-3208
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Country | US
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Telephone | 530-673-7511
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Fax | 530-673-7511
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Provider Business Mailing Address
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Address Line | 1139 GRAY AVE STE. B
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City | YUBA CITY
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State | CA
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Zip | 95991-3208
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Country | US
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Telephone | 530-673-7511
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Fax | 530-673-7511
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CHRISTINA A DUCA
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Credential | HEARING AID DISPENSE
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Telephone | 530-673-7511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA6055
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License Number State | CA
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