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General NPI Number Information
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NPI Number | 1215181524
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Entity Type | Organization
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Legal Business Name | D.T. GRIFFITH, M.D. LLC
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 874 S PARSONS AVE
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City | BRANDON
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State | FL
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Zip | 33511-6007
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Country | US
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Telephone | 813-661-8979
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Fax | 813-654-1164
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Provider Business Mailing Address
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Address Line | 874 S PARSONS AVE
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City | BRANDON
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State | FL
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Zip | 33511-6007
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Country | US
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Telephone | 813-661-8979
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Fax | 813-654-1164
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. DANIEL TODD GRIFFITH
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Credential | M.D.
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Telephone | 813-661-8979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | ME 87491
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License Number State | FL
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