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General NPI Number Information
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NPI Number | 1831051705
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Entity Type | Organization
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Legal Business Name | BEELINE NEURO, LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 3900 WESTERRE PKWY STE 300
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City | RICHMOND
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State | VA
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Zip | 23233-1339
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Country | US
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Telephone | 804-578-7442
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Fax | 804-215-0454
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Provider Business Mailing Address
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Address Line | 3900 WESTERRE PKWY STE 300
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City | RICHMOND
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State | VA
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Zip | 23233-1339
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Country | US
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Telephone | 804-578-7442
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Fax | 804-215-0454
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Authorized Official
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Title or Position | CEO/NURSE PRACTITIONER
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Name | MRS. REBECCA ANN FARRELL GRINSELL
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Credential | MSN, APRN, FNP-C
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Telephone | 804-578-7442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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