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General NPI Number Information
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NPI Number | 1730096793
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Entity Type | Organization
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Legal Business Name | THRONE OF GRACE GROUP
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 210 W MAIN ST
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City | MIDDLETOWN
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State | DE
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Zip | 19709-1041
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Country | US
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Telephone | 215-626-5700
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Fax | 302-378-8234
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Provider Business Mailing Address
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Address Line | 1111 E FOUNDS ST
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City | TOWNSEND
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State | DE
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Zip | 19734-3001
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Country | US
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Telephone | 215-626-5700
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Fax | 302-378-8234
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. GRACE M IKEOCHA
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Credential | CEO
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Telephone | 215-626-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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