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NPI Code Detail

MEDICARE: MR. PAUL L GRACE-NEAL LPN

MEDICARE:  MR. PAUL L GRACE-NEAL  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseLPN1003786DC

General Provider Information

NPI Number : 1295410991
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL L GRACE-NEAL LPN
Provider Business Mailing Address
First Line : 1320 GOOD HOPE RD SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-6912
Country : US
Telephone Number : 202-610-1886
Fax Number : 202-610-1887
Provider Business Practice Location Address
First Line : 1320 GOOD HOPE RD SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-6912
Country : US
Telephone Number : 202-610-1886
Fax Number : 202-610-1887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2023
Last Update Date : 06/20/2023

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Directions to “ MR. PAUL L GRACE-NEAL LPN” Practice Location

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