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General NPI Number Information
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NPI Number | 1225409725
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Entity Type | Individual
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Provider Name | ALICIA F GRIFFIN ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | 7406 FULLERTON ST SUITE 2000
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City | JACKSONVILLE
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State | FL
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Zip | 32256-3552
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Country | US
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Telephone | 904-538-0440
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Fax |
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Provider Business Mailing Address
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Address Line | 8007 HANCOCK ST
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City | RIVERVIEW
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State | FL
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Zip | 33578-4462
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Country | US
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Telephone | 813-690-3257
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9308382
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License Number State | FL
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