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General NPI Number Information
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NPI Number | 1245674142
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Entity Type | Individual
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Provider Name | MELISSA REIDY GRIFFITH M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 12605 E 16TH AVE
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City | AURORA
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State | CO
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Zip | 80045-2545
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Country | US
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Telephone | 720-848-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 E HARMONY RD UNIT 360
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City | FORT COLLINS
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State | CO
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Zip | 80528-3404
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Country | US
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Telephone | 970-267-9799
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Fax | 970-267-9559
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | DR.0057161
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License Number State | CO
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