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NPI 1144313115

NPI 1144313115 : BARBARA K. GRIFFIN NP : ITHACA, NY

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General NPI Number Information
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    NPI Number           |    1144313115
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    Entity Type          |    Individual 
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    Provider Name        |    BARBARA K. GRIFFIN NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/02/2006
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    Last Update Date     |    08/13/2015
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Provider Practice Location Address
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    Address Line         |    2333N TRIPHAMMER RD 203 
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    City                 |    ITHACA
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    State                |    NY
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    Zip                  |    14850-1075
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    Country              |    US
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    Telephone            |    607-257-1107
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    Fax                  |    607-257-0369
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Provider Business Mailing Address
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    Address Line         |    2386 STATE ROUTE 79 
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    City                 |    TRUMANSBURG
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    State                |    NY
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    Zip                  |    14886-9762
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    Country              |    US
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    Telephone            |    607-275-9585
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    F300702-1
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    License Number State |    NY
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