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General NPI Number Information
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NPI Number | 1326305418
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Entity Type | Individual
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Provider Name | JANETTE LEE GRIGG FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 540 S EREMLAND DR
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City | COVINA
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State | CA
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Zip | 91723-3186
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Country | US
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Telephone | 626-966-1577
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Fax | 626-535-9387
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Provider Business Mailing Address
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Address Line | 1229 FLANDERS RD
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City | LA CANADA
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State | CA
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Zip | 91011-2222
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Country | US
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Telephone | 508-264-5224
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP21728
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP21827
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License Number State | CA
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