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General NPI Number Information
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NPI Number | 1104776327
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Entity Type | Individual
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Provider Name | TIMOTHY DORNELL GRIFFIN ACSW
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Gender | Male
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 8280 SANTA MONICA BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-5915
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Country | US
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Telephone | 310-550-1010
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Fax | 310-550-0650
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Provider Business Mailing Address
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Address Line | 9220 W SUNSET BLVD STE 100
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City | LOS ANGELES
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State | CA
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Zip | 90069-3500
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Country | US
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Telephone | 310-432-8099
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Fax | 310-432-8035
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 130881
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License Number State | CA
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