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General NPI Number Information
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NPI Number | 1073515748
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Entity Type | Individual
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Provider Name | GAIL M GRIFFIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 1350 S KINGS DR
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City | CHARLOTTE
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State | NC
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Zip | 28207-2134
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Country | US
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Telephone | 704-446-1544
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Fax | 704-446-1550
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Provider Business Mailing Address
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Address Line | 515 CLANTON RD
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City | CHARLOTTE
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State | NC
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Zip | 28217-1309
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Country | US
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Telephone | 704-332-9001
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Fax | 704-714-1182
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 200401505
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 200401505
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License Number State | NC
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