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General NPI Number Information
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NPI Number | 1801808985
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Entity Type | Organization
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Legal Business Name | GRACE REHAB, INC.
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 901 N MCDONALD ST SUITE 906
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City | MCKINNEY
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State | TX
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Zip | 75069-2143
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Country | US
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Telephone | 972-984-1851
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Fax | 972-984-1859
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Provider Business Mailing Address
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Address Line | PO BOX 251486
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City | PLANO
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State | TX
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Zip | 75025-1486
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Country | US
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Telephone | 972-984-1851
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Fax | 972-984-1859
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Authorized Official
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Title or Position | PRESIDENT
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Name | BOBBY BAILEY
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Credential |
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Telephone | 972-316-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 1218
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License Number State | TX
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