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General NPI Number Information
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NPI Number | 1609731181
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Entity Type | Organization
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Legal Business Name | GRACE PSYCHIATRY
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 1525 S HIGLEY RD
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City | GILBERT
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State | AZ
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Zip | 85296-4795
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Country | US
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Telephone | 602-975-2330
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Fax | 602-654-2962
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Provider Business Mailing Address
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Address Line | 1525 S HIGLEY RD STE 104
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City | GILBERT
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State | AZ
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Zip | 85296-5045
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Country | US
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Telephone | 480-818-8403
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC MENTAL HEALTH NURSE PRA
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Name | RACHEL EAGER
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Credential | PMHNP-BC
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Telephone | 480-818-8403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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