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General NPI Number Information
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NPI Number | 1689485773
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Entity Type | Organization
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Legal Business Name | GRACE WITH GRIT
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 123 KARENLYNN DR
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City | FRANKLINVILLE
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State | NJ
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Zip | 08322-3854
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Country | US
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Telephone | 917-803-7772
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Fax |
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Provider Business Mailing Address
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Address Line | 111 TOWN SQUARE PL STE 1238
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City | JERSEY CITY
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State | NJ
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Zip | 07310-1810
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Country | US
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Telephone | 718-781-4094
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUITVE OFFICER
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Name | TIFFANY JAMES
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Credential |
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Telephone | 718-781-4094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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