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General NPI Number Information
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NPI Number | 1821255415
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Entity Type | Organization
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Legal Business Name | GRACE RX STAFFING AND HOME HEALTH CARE SERVICES
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 3917 W SUBLETT RD
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City | ARLINGTON
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State | TX
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Zip | 76017-4691
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Country | US
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Telephone | 817-483-6443
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Fax |
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Provider Business Mailing Address
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Address Line | 3917 W SUBLETT RD
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City | ARLINGTON
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State | TX
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Zip | 76017-4691
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Country | US
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Telephone | 817-483-6443
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR SUPERVISING NURSE
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Name | MRS. GLORIA O MADUKA
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Credential |
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Telephone | 817-483-6443
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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 | 800966318
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License Number State | TX
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