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General NPI Number Information
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NPI Number | 1639844285
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Entity Type | Organization
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Legal Business Name | GR MANAGEMENT
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Dates
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Enumeration Date | 08/14/2021
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 113 MARIANA DR
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City | RICHARDSON
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State | TX
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Zip | 75081-3734
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Country | US
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Telephone | 919-579-7155
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Fax |
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Provider Business Mailing Address
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Address Line | 113 MARIANA DR
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City | RICHARDSON
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State | TX
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Zip | 75081-3734
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | CARLOS DIAZ
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Credential |
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Telephone | 919-579-7155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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