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General NPI Number Information
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NPI Number | 1942797709
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Entity Type | Organization
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Legal Business Name | GRILEY, FOREMAN AND ASSOCIATES
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4144 WHEATLEIGH CT
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City | LAS VEGAS
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State | NV
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Zip | 89115-8228
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Country | US
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Telephone | 702-410-4451
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Fax |
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Provider Business Mailing Address
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Address Line | 4144 WHEATLEIGH CT
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City | LAS VEGAS
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State | NV
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Zip | 89115-8228
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Country | US
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Telephone | 702-410-4451
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Fax |
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Authorized Official
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Title or Position | CO OWNER
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Name | MS. CHARQUINTA Y GRILEY
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Credential |
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Telephone | 702-410-4451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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