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General NPI Number Information
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NPI Number | 1386322238
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Entity Type | Organization
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Legal Business Name | PEACE & GRACE INSURANCE SERVICES LLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 1210 3RD ST
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City | ATWATER
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State | CA
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Zip | 95301-4041
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Country | US
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Telephone | 209-812-4026
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Fax | 209-580-0148
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Provider Business Mailing Address
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Address Line | 1210 3RD ST
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City | ATWATER
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State | CA
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Zip | 95301-4041
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEP
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Name | MISS ANNA DAVIS
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Credential | CIC
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Telephone | 209-812-4026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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