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General NPI Number Information
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NPI Number | 1942153028
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Entity Type | Organization
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Legal Business Name | BGRACE MEDICAL ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 2910 FLEETWOOD AVE
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City | BALTIMORE
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State | MD
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Zip | 21214-1207
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Country | US
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Telephone | 443-531-5685
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Fax |
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Provider Business Mailing Address
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Address Line | 2910 FLEETWOOD AVE
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City | BALTIMORE
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State | MD
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Zip | 21214-1207
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Country | US
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Telephone | 443-531-5685
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Fax |
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Authorized Official
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Title or Position | FNP
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Name | MS. AMARACHI BENEDICTA NJOKU
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Credential | NURSE PRACTITIONER
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Telephone | 443-531-5685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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