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General NPI Number Information
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NPI Number | 1053996389
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Entity Type | Individual
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Provider Name | LINDSEY ELISE GRISWOLD PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 7545 ASHWORTH RD STE 210
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City | WEST DES MOINES
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State | IA
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Zip | 50266-5954
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Country | US
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Telephone | 515-854-3618
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 SILVER LAKE RD NW STE 110
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City | NEW BRIGHTON
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State | MN
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Zip | 55112-1789
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Country | US
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Telephone |
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 107413
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License Number State | IA
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