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General NPI Number Information
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NPI Number | 1629756721
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Entity Type | Organization
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Legal Business Name | ANOINTED HANDS BY GRACE LLC
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 3880 GREENHOUSE RD. SUITE 420
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City | HOUSTON
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State | TX
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Zip | 77084
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Country | US
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Telephone | 832-891-1089
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Fax | 713-364-4034
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Provider Business Mailing Address
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Address Line | 19411 JUNIPER VALE CIR
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City | HOUSTON
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State | TX
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Zip | 77084-2271
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Country | US
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Telephone | 832-891-8691
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Fax |
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | MONIQUE SHANAY MILLER
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Credential | BSN, RN-BC
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Telephone | 832-891-1089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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