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General NPI Number Information
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NPI Number | 1902795552
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Entity Type | Individual
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Provider Name | ALESHIA GRIZZLE FNP
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 2011 2ND ST
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City | RICHLANDS
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State | VA
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Zip | 24641-2305
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Country | US
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Telephone | 276-345-9900
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Fax | 276-345-9901
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Provider Business Mailing Address
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Address Line | 1829 ELKINS BRANCH RD
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City | GRUNDY
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State | VA
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Zip | 24614-7000
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Country | US
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Telephone | 276-202-2794
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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 | 0024193761
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 0024193761
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024193761
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License Number State | VA
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