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General NPI Number Information
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NPI Number | 1265366124
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Entity Type | Organization
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Legal Business Name | GRACE & CO CONCIERGE SERVICES LLC
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 5358 SW 183RD AVE
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City | MIRAMAR
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State | FL
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Zip | 33029-6311
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Country | US
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Telephone | 954-574-7963
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Fax |
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Provider Business Mailing Address
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Address Line | 5358 SW 183RD AVE
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City | MIRAMAR
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State | FL
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Zip | 33029-6311
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Country | US
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Telephone | 954-574-7963
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | LISA ANTONNETTE MARSHALL
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Credential | RN
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Telephone | 954-574-7963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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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 | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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