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General NPI Number Information
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NPI Number | 1265114474
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Entity Type | Organization
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Legal Business Name | GRAZIA FOUNDATION
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 172 ENGLANDE ROCK RD
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City | AFTON
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State | VA
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Zip | 22920-5016
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Country | US
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Telephone | 434-987-3671
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Fax |
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Provider Business Mailing Address
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Address Line | 220 BEDFORD PARK RD
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-9207
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Country | US
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Telephone | 434-987-3671
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHRISTINE BOWERS
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Credential | LMFT
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Telephone | 434-987-3671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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