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General NPI Number Information
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NPI Number | 1194840199
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Entity Type | Individual
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Provider Name | NANCY J GRIFFIN OD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 24200 LAGUNA HILLS MALL JCPENNEY
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3614
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Country | US
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Telephone | 949-951-6037
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Fax | 949-458-6190
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Provider Business Mailing Address
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Address Line | 27822 PAGUERA
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City | MISSION VIEJO
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State | CA
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Zip | 92692-1123
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Country | US
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Telephone | 949-587-0773
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8730T
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License Number State | CA
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