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General NPI Number Information
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NPI Number | 1922956788
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Entity Type | Organization
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Legal Business Name | GRACE AND GLORY LLC
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 128 S TRYON ST
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City | CHARLOTTE
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State | NC
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Zip | 28202-5001
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Country | US
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Telephone | 202-520-0422
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Fax |
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Provider Business Mailing Address
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Address Line | 2699 HIGHWAY 38 N
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City | BENNETTSVILLE
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State | SC
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Zip | 29512-5034
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Country | US
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Telephone | 336-987-8634
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | MICHAEL L STRONG
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Credential |
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Telephone | 336-987-8634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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