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General NPI Number Information
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NPI Number | 1336327014
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Entity Type | Organization
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Legal Business Name | THE GRACE PROJECT LLC
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 1915 N DALE MABRY HWY #406
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City | TAMPA
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State | FL
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Zip | 33607-2550
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Country | US
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Telephone | 813-870-6700
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Fax | 813-870-6701
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Provider Business Mailing Address
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Address Line | 1915 N DALE MABRY HWY #406
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City | TAMPA
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State | FL
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Zip | 33607-2550
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Country | US
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Telephone | 813-870-6700
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Fax | 813-870-6701
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ALISON LEE WHITE
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Credential |
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Telephone | 813-870-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | FL
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