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General NPI Number Information
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NPI Number | 1962855981
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Entity Type | Organization
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Legal Business Name | GRACE CARE
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Dates
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Enumeration Date | 07/14/2016
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 2981 HICKORY GROVE RD
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City | MORRISON
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State | TN
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Zip | 37357-3442
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Country | US
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Telephone | 931-743-1955
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 132
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City | MORRISON
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State | TN
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Zip | 37357-0132
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Country | US
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Telephone | 931-743-1955
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JANET HIEBER
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Credential | APN
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Telephone | 931-743-1955
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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 | APN8080
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License Number State | TN
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