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General NPI Number Information
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NPI Number | 1437772779
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Entity Type | Organization
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Legal Business Name | GRACE THERAPY AND EDUCATIONAL SERVICES
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Dates
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Enumeration Date | 05/21/2020
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 3009 SAULSBURY DR STE 2
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City | TEMPLE
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State | TX
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Zip | 76504-2273
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Country | US
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Telephone | 254-228-0345
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Fax |
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Provider Business Mailing Address
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Address Line | 3009 SAULSBURY DR STE 2
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City | TEMPLE
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State | TX
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Zip | 76504-2273
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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 | OWNER, LEAD SPEECH PATHOLOGIST
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Name | EMILY MEYER
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Credential |
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Telephone | 254-228-0345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical 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 | 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 #3
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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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