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General NPI Number Information
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NPI Number | 1528829082
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Entity Type | Individual
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Provider Name | GRACE ELIZABETH ALFORD
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Gender | Female
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 110 POLARIS PKWY STE 250
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City | WESTERVILLE
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State | OH
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Zip | 43082-8074
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Country | US
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Telephone | 614-865-4800
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Fax | 614-865-4900
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Provider Business Mailing Address
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Address Line | 110 POLARIS PKWY STE 250
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City | WESTERVILLE
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State | OH
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Zip | 43082-8074
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Country | US
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Telephone | 614-865-4800
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Fax | 614-865-4900
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F07230534
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0035731
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License Number State | OH
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