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General NPI Number Information
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NPI Number | 1689253254
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Entity Type | Organization
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Legal Business Name | GRACE PRIMARY HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 5045 LORIMAR DR STE 265
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City | PLANO
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State | TX
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Zip | 75093-5720
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Country | US
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Telephone | 469-326-1700
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Fax | 469-326-1704
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Provider Business Mailing Address
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Address Line | 5045 LORIMAR DR STE 265
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City | PLANO
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State | TX
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Zip | 75093-5720
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Country | US
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Telephone | 469-326-1700
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Fax | 469-326-1704
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS ZACHARIAH
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Credential |
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Telephone | 469-326-1700
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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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