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General NPI Number Information
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NPI Number | 1326975582
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Entity Type | Individual
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Provider Name | AMBER DAWN GRALEY RN
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Gender | Female
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 4357 STEELE RIDGE RD
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City | RED HOUSE
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State | WV
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Zip | 25168-9101
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Country | US
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Telephone | 304-377-5997
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Fax |
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Provider Business Mailing Address
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Address Line | 200 ASSOCIATION DR STE 200
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City | CHARLESTON
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State | WV
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Zip | 25311-1278
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Country | US
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Telephone | 304-377-5997
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 68587
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License Number State | WV
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