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General NPI Number Information
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NPI Number | 1114802410
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Entity Type | Individual
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Provider Name | LE-KEISHA GRIFFIN
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Gender | Female
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 7200 FALLS OF NEUSE RD STE 300
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City | RALEIGH
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State | NC
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Zip | 27615-5384
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Country | US
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Telephone | 919-904-4145
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Fax |
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Provider Business Mailing Address
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Address Line | 5110 OLD CHAPEL HILL RD APT 1326
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City | DURHAM
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State | NC
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Zip | 27707-9106
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Country | US
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Telephone | 919-740-7694
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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