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General NPI Number Information
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NPI Number | 1750872776
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Entity Type | Individual
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Provider Name | ZINA NIA GRACE
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Gender | Female
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Dates
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Enumeration Date | 05/24/2018
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1017 FAYETTEVILLE RD SE
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City | ATLANTA
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State | GA
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Zip | 30316-2932
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Country | US
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Telephone | 404-486-9034
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Fax |
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Provider Business Mailing Address
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Address Line | 5496 S HYDE PARK BLVD APT 508
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City | CHICAGO
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State | IL
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Zip | 60615-5863
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Country | US
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Telephone | 872-300-6844
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Fax |
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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