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General NPI Number Information
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NPI Number | 1417816554
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Entity Type | Individual
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Provider Name | GABRIELLA EILEEN GRACE
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Gender | Female
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | PO BOX 95026
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City | LINCOLN
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State | NE
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Zip | 68509-5026
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Country | US
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Telephone | 402-471-8501
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Fax |
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Provider Business Mailing Address
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Address Line | 4901 NW KENDALL DR
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City | TOPEKA
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State | KS
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Zip | 66618-1328
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Country | US
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Telephone | 785-250-3199
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | K03-96-1927
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License Number State | KS
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