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General NPI Number Information
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NPI Number | 1447054853
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Entity Type | Individual
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Provider Name | RICHELLE GRZADZINSKI RN
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Gender | Female
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 245 N BINKLEY ST
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City | SOLDOTNA
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State | AK
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Zip | 99669-7500
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Country | US
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Telephone | 907-714-4521
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Fax |
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Provider Business Mailing Address
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Address Line | 8558 ANCHOR BAY DR
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City | CLAY
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State | MI
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Zip | 48001-3507
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Country | US
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Telephone | 586-604-8950
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 226831
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 226831
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License Number State | AK
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