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General NPI Number Information
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NPI Number | 1295954451
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Entity Type | Organization
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Legal Business Name | GRACE MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 5400 OLD COURT RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5100
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Country | US
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Telephone | 410-383-4952
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Fax | 410-383-4924
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Provider Business Mailing Address
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Address Line | 5400 OLD COURT RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5100
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Country | US
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Telephone | 410-362-3000
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Fax |
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Authorized Official
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Title or Position | AVP OPERATIONS
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Name | MICHELLE BERKLEY-BROWN
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Credential |
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Telephone | 410-362-3378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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