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General NPI Number Information
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NPI Number | 1235300682
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Entity Type | Organization
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Legal Business Name | NEW GRACE HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 07/13/2011
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Provider Practice Location Address
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Address Line | 2622 WOODPARK DR
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City | GARLAND
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State | TX
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Zip | 75044-7882
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Country | US
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Telephone | 214-431-6712
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Fax | 469-298-3233
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Provider Business Mailing Address
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Address Line | 2622 WOODPARK DR
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City | GARLAND
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State | TX
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Zip | 75044-7882
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Country | US
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Telephone | 214-431-6712
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Fax | 972-997-9099
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. WINIFRED UDEOGU-MOORE
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Credential | RN
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Telephone | 214-431-6712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | TX
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