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General NPI Number Information
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NPI Number | 1477470060
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Entity Type | Individual
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Provider Name | GRACE ALEXANDRA LANGDON
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Gender | Female
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 9216 ARDREY KELL RD STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28277-4954
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Country | US
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Telephone | 980-556-7330
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Fax |
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Provider Business Mailing Address
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Address Line | 9216 ARDREY KELL RD STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28277-4954
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Country | US
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Telephone | 980-556-7330
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P25199
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License Number State | NC
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