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General NPI Number Information
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NPI Number | 1740823632
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Entity Type | Organization
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Legal Business Name | GRACE FAMILY HEALTH, INC.
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 24910 LAS BRISAS RD STE 116
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City | MURRIETA
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State | CA
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Zip | 92562-4035
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Country | US
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Telephone | 951-231-1385
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Fax | 951-461-9191
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Provider Business Mailing Address
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Address Line | 24910 LAS BRISAS RD STE 116
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City | MURRIETA
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State | CA
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Zip | 92562-4035
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Country | US
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Telephone | 951-231-1385
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Fax | 951-461-9191
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MRS. LILY Y. PHILLIPS
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Credential | MD
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Telephone | 951-231-1385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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