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General NPI Number Information
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NPI Number | 1750387742
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Entity Type | Organization
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Legal Business Name | GRACE HEALTH SERVICES INC.
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 12/10/2007
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Provider Practice Location Address
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Address Line | 7255A GREENLEAF AVE FL 2
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City | WHITTIER
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State | CA
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Zip | 90602-1313
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Country | US
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Telephone | 562-789-0303
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Fax | 562-789-0505
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Provider Business Mailing Address
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Address Line | 7255A GREENLEAF AVE FL 2
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City | WHITTIER
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State | CA
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Zip | 90602-1313
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Country | US
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Telephone | 562-789-0303
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Fax | 562-789-0505
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ELIZABETH VERGEIRE CARANTIT
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Credential | BACCALAUREATE DEGREE
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Telephone | 562-789-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | CA
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