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General NPI Number Information
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NPI Number | 1700264538
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Entity Type | Individual
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Provider Name | GRACE PRINCE M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/13/2015
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 1001 E LEIGH ST FL 14
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City | RICHMOND
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State | VA
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Zip | 23298-5004
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Country | US
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Telephone | 804-828-2161
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Fax | 804-807-7953
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Provider Business Mailing Address
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Address Line | 1101 EAST MARSHALL STREET SANGER HALL, 7TH FLOOR, BOX 980111
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City | RICHMOND
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State | VA
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Zip | 23298
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Country | US
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Telephone | 804-828-2161
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Fax | 804-828-8389
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 209971
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 149070
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 0101272516
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License Number State | VA
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