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General NPI Number Information
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NPI Number | 1962199265
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Entity Type | Organization
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Legal Business Name | GRACE 4 WOMEN, LLC
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1205 ROYAL AVE
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City | MONROE
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State | LA
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Zip | 71201-5603
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Country | US
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Telephone | 318-654-4075
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Fax | 318-232-5463
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Provider Business Mailing Address
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Address Line | 902 ADCOCK RD
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City | RAYVILLE
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State | LA
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Zip | 71269-6446
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Country | US
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Telephone | 318-801-8868
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RHONDA A BEARD
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Credential | NURSE PRACTITIONER
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Telephone | 318-801-8868
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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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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 |
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License Number State |
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