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General NPI Number Information
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NPI Number | 1306246269
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Entity Type | Individual
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Provider Name | CYNTHIA GRIFFIN APNP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 08/28/2014
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Provider Practice Location Address
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Address Line | 502 LONE EAGLE DR
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City | MADISON
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State | WI
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Zip | 53713-4757
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Country | US
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Telephone | 608-213-0837
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Fax |
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Provider Business Mailing Address
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Address Line | 502 LONE EAGLE DR
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City | MADISON
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State | WI
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Zip | 53713-4757
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5930-33
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License Number State | WI
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