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General NPI Number Information
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NPI Number | 1215637731
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Entity Type | Individual
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Provider Name | JASON GRIFFITH PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 704 PRATT AVE NE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3644
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Country | US
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Telephone | 256-534-1118
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Fax | 256-534-1121
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Provider Business Mailing Address
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Address Line | 4914 MONTAUK TRL SE
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City | OWENS CROSS ROADS
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State | AL
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Zip | 35763-8736
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Country | US
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Telephone | 256-390-7133
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14814
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License Number State | AL
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