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General NPI Number Information
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NPI Number | 1154296192
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Entity Type | Individual
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Provider Name | DEON EDWARD GRIFFIN JR. EIN
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Gender | Male
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 602 VIRGINIA AVE
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City | LYNWOOD
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State | IL
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Zip | 60411-4643
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Country | US
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Telephone | 773-240-6594
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Fax |
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Provider Business Mailing Address
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Address Line | 602 VIRGINIA AVE
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City | LYNWOOD
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State | IL
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Zip | 60411-4643
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Country | US
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Telephone | 773-240-6594
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number | 343900000X
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License Number State | IL
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