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General NPI Number Information
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NPI Number | 1992615694
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Entity Type | Individual
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Provider Name | GRACE K CACINI
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Gender | Female
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 7282 CROSSWATER STE 100
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City | TYLER
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State | TX
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Zip | 75703-0659
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Country | US
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Telephone | 903-871-5712
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Fax | 903-309-1035
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Provider Business Mailing Address
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Address Line | 4055 HOGAN DR APT 1804
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City | TYLER
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State | TX
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Zip | 75709-6945
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Country | US
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Telephone | 903-871-5712
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Fax | 903-309-1035
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 125831
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License Number State | TX
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