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NPI Code Detail

MEDICARE: GRACE CANDRIAN

MEDICARE: GRACE CANDRIAN
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
1235Z00000XSpeech-Language Pathologist3106ND

General Provider Information

NPI Number : 1629901624
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE CANDRIAN
Provider Business Mailing Address
First Line : 600 22ND AVE NW STE 2
Second Line :
City : MINOT
State : ND
Zip : 58703-0986
Country : US
Telephone Number : 701-818-9958
Fax Number : 701-671-8133
Provider Business Practice Location Address
First Line : 600 22ND AVE NW STE 2
Second Line :
City : MINOT
State : ND
Zip : 58703-0986
Country : US
Telephone Number : 701-818-9958
Fax Number : 701-671-8133
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ GRACE CANDRIAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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