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General NPI Number Information
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NPI Number | 1265665392
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Entity Type | Organization
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Legal Business Name | DR KREG GRIFFITH P.C.
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Dates
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Enumeration Date | 08/24/2009
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 414 SE 11TH ST
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City | ANADARKO
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State | OK
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Zip | 73005-4442
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Country | US
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Telephone | 405-408-2669
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Fax |
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Provider Business Mailing Address
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Address Line | 547 E MAPLE RD
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City | WASHINGTON
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State | OK
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Zip | 73093-4716
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KREG GRIFFITH
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Credential | D.C
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Telephone | 405-408-2669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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