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General NPI Number Information
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NPI Number | 1093533069
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Entity Type | Individual
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Provider Name | EMILY GRUBB NP
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 5855 BREMO RD STE 509
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City | RICHMOND
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State | VA
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Zip | 23226-1925
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Country | US
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Telephone | 804-977-8920
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Fax |
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Provider Business Mailing Address
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Address Line | 9986 CANVASSBACK PASS CT
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-6698
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Country | US
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Telephone | 804-247-1336
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024191157
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License Number State | VA
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