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General NPI Number Information
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NPI Number | 1497660070
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Entity Type | Organization
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Legal Business Name | GRACE & MERCY CARE LLC
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 6916 MONTGOMERY BLVD NE STE B-9
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-1489
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Country | US
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Telephone | 505-487-2802
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Fax |
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Provider Business Mailing Address
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Address Line | 8206 LOUISIANA BLVD NE STE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1738
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Country | US
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Telephone | 505-487-2802
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Fax | 770-502-6722
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Authorized Official
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Title or Position | OWNER
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Name | NICOLA RICKETTS
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Credential | APRN
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Telephone | 516-738-1997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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