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General NPI Number Information
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NPI Number | 1124266796
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Entity Type | Organization
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Legal Business Name | STEVEN T. GRIGGS, PH.D. A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 02/04/2009
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Last Update Date | 02/04/2009
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Provider Practice Location Address
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Address Line | 210 S JUNIPER ST STE 205
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City | ESCONDIDO
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State | CA
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Zip | 92025-4200
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Country | US
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Telephone | 760-746-8355
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Fax |
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Provider Business Mailing Address
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Address Line | 210 S JUNIPER ST STE 205
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City | ESCONDIDO
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State | CA
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Zip | 92025-4200
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Country | US
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Telephone | 760-746-8355
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN THOMAS GRIGGS
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Credential | PH.D.
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Telephone | 760-746-8355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY8534
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License Number State | CA
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