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General NPI Number Information
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NPI Number | 1417878349
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Entity Type | Individual
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Provider Name | RILEY GRIGG BEUS OD
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Gender | Female
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 762 E WYTHE CREEK CT STE 102
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City | KUNA
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State | ID
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Zip | 83634-5215
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Country | US
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Telephone | 208-922-3060
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Fax | 208-922-1228
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Provider Business Mailing Address
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Address Line | 762 E WYTHE CREEK CT STE 102
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City | KUNA
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State | ID
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Zip | 83634-5215
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Country | US
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Telephone | 208-922-3060
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Fax | 208-922-1228
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4381328
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License Number State | ID
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