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General NPI Number Information
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NPI Number | 1275432957
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Entity Type | Organization
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Legal Business Name | EDWARD AND GRACE HOLDINGS, LLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 8925 SW 148TH ST STE 218
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City | PALMETTO BAY
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State | FL
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Zip | 33176-8084
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Country | US
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Telephone | 305-747-7799
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Fax |
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Provider Business Mailing Address
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Address Line | 16266 SW 156TH AVE
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City | MIAMI
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State | FL
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Zip | 33187-5223
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Country | US
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Telephone | 786-488-1888
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Fax |
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Authorized Official
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Title or Position | CEO AND NP
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Name | MILENA SPARAGA
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Credential | APRN
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Telephone | 786-488-1888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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