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General NPI Number Information
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NPI Number | 1952328494
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Entity Type | Individual
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Provider Name | ERIC J GRIGSBY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 3434 VILLA LN SUITE 150
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City | NAPA
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State | CA
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Zip | 94558-6405
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Country | US
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Telephone | 707-252-9666
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Fax | 707-258-2780
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Provider Business Mailing Address
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Address Line | PO BOX 5510
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City | NAPA
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State | CA
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Zip | 94581-0510
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Country | US
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Telephone | 707-252-9666
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Fax | 707-258-2780
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | G648480
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License Number State | CA
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