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General NPI Number Information
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NPI Number | 1942178942
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Entity Type | Individual
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Provider Name | SOPHIA GRISWOLD
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Gender | Female
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 119 THE PLAINS RD STE 300
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City | MIDDLEBURG
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State | VA
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Zip | 20117-2691
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Country | US
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Telephone | 540-326-4536
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Fax |
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Provider Business Mailing Address
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Address Line | 22407 FOXHOUND LN
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City | MIDDLEBURG
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State | VA
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Zip | 20117-3727
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024195152
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License Number State | VA
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