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General NPI Number Information
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NPI Number | 1871561514
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Entity Type | Individual
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Provider Name | GRACE ELLEN URQUHART ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 2158 LAWSON CREEK RD APT D
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City | DOUGLAS
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State | AK
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Zip | 99824-5024
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Country | US
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Telephone | 85-994-8966
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Fax |
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Provider Business Mailing Address
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Address Line | 2067 WESTERN PECAN
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-2762
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Country | US
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Telephone | 859-948-9669
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4473P
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1220
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License Number State | AK
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