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General NPI Number Information
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NPI Number | 1447107222
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Entity Type | Organization
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Legal Business Name | GINA GRACING MINNIE LLC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 2224 HIGH WHEEL DR APT 318
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City | XENIA
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State | OH
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Zip | 45385-5392
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Country | US
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Telephone | 412-901-1980
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Fax |
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Provider Business Mailing Address
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Address Line | 476 BLAIRE RD APT 2
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City | BLAIRSVILLE
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State | PA
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Zip | 15717-8835
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Country | US
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Telephone | 412-927-7672
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. MONICA L DENT
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Credential | CERTIFIED NURSE AIDE
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Telephone | 412-927-9276
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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 |
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