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General NPI Number Information
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NPI Number | 1255504809
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Entity Type | Individual
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Provider Name | KYNA D GRIFFITH-HENRY PHD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2008
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Last Update Date | 03/10/2020
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Provider Practice Location Address
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Address Line | 403 COVENTRY DR
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1969
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Country | US
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Telephone | 908-386-2100
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Fax | 908-386-2200
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Provider Business Mailing Address
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Address Line | 28 KYLE DR
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-7313
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Country | US
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Telephone | 908-878-9353
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS016405
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00614400
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License Number State | NJ
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