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General NPI Number Information
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NPI Number | 1134132665
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Entity Type | Individual
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Provider Name | DONA MICHELLE GRIFFITH L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 112 W 5TH ST
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City | BONHAM
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State | TX
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Zip | 75418-4365
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Country | US
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Telephone | 903-436-2406
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 28
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City | BONHAM
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State | TX
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Zip | 75418-0028
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Country | US
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Telephone | 903-436-2406
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 19413
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License Number State | TX
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