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General NPI Number Information
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NPI Number | 1285821017
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Entity Type | Individual
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Provider Name | LATINA GRIGGS AMICK MSN, CNP, RN-BC
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Gender | Female
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 2109 HUGHES DR CONRAD JOBST TOWER, SUITE 420
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City | TOLEDO
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State | OH
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Zip | 43606-3856
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Country | US
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Telephone | 419-291-4000
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Fax | 419-480-8715
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Provider Business Mailing Address
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Address Line | 3000 ARLINGTON AVE STOP 1108
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City | TOLEDO
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State | OH
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Zip | 43614-2595
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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 |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP-07840
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704228312
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.07840
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License Number State | OH
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