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General NPI Number Information
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NPI Number | 1790620235
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Entity Type | Organization
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Legal Business Name | GRACE ALPHA FOCUSED CARE LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 29517 SALEM FIELDS DR
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City | SPRING
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State | TX
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Zip | 77386-1572
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Country | US
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Telephone | 832-585-1195
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Fax | 832-699-3260
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Provider Business Mailing Address
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Address Line | 29517 SALEM FIELDS DR
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City | SPRING
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State | TX
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Zip | 77386-1572
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Country | US
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Telephone | 832-585-1195
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Fax | 832-699-3260
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. NGOZI LADOKUN
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Credential | FNP-C
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Telephone | 339-965-4978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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