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General NPI Number Information
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NPI Number | 1316734098
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Entity Type | Individual
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Provider Name | SOPHIA PATRICIA GRIFFIN RD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 769 S MAIN ST
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City | MANCHESTER
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State | NH
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Zip | 03102-5166
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Country | US
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Telephone | 603-663-7377
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Fax |
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Provider Business Mailing Address
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Address Line | 10 TRENTON ST
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City | METHUEN
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State | MA
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Zip | 01844-1576
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Country | US
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Telephone | 978-305-8191
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Fax | 978-305-8191
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1896
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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