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General NPI Number Information
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NPI Number | 1205426145
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Entity Type | Individual
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Provider Name | RACHEL GRIFFIN
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Gender | Female
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1 CHILDRENS WAY
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City | LITTLE ROCK
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State | AR
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Zip | 72202-3500
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Country | US
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Telephone | 501-364-1323
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5210
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City | GRAND FORKS
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State | ND
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Zip | 58206-5210
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Country | US
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Telephone | 701-205-3000
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Fax | 701-732-2501
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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 | PAC0984
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 14307
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA-960
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License Number State | AR
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