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General NPI Number Information
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NPI Number | 1316850746
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Entity Type | Organization
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Legal Business Name | GRACE CHAPEL CHRISTIAN CHURCH
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 2499 JEFFERSON DAVIS HWY
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City | SANFORD
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State | NC
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Zip | 27332-7104
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Country | US
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Telephone | 919-774-4415
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Fax | 919-718-6777
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Provider Business Mailing Address
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Address Line | 2601 JEFFERSON DAVIS HWY
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City | SANFORD
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State | NC
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Zip | 27332-7108
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Country | US
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Telephone | 919-774-4415
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Fax | 919-718-6777
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Authorized Official
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Title or Position | DIRECTOR OF RELATED SERVICES
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Name | REBECCA JO MARKS
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Credential | CCC-SLP
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Telephone | 919-774-4415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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