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General NPI Number Information
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NPI Number | 1275947384
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Entity Type | Organization
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Legal Business Name | JOHN G. GRIFFIN,DDS,P.A.
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 784 E US HIGHWAY 74
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City | ROCKINGHAM
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State | NC
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Zip | 28379-7524
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Country | US
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Telephone | 910-205-7745
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Fax | 910-205-7739
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Provider Business Mailing Address
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Address Line | 784 E US HIGHWAY 74
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City | ROCKINGHAM
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State | NC
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Zip | 28379-7524
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Country | US
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Telephone | 910-205-7745
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Fax | 910-205-7739
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN G. GRIFFIN
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Credential | DDS
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Telephone | 910-205-7739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5594
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License Number State | NC
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