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General NPI Number Information
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NPI Number | 1316803059
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Entity Type | Individual
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Provider Name | TINA MICHELLE GRIFFIN
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Gender | Female
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 303 N FRANKLIN ST
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City | DUBLIN
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State | GA
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Zip | 31021-6711
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Country | US
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Telephone | 888-832-1550
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Fax | 404-873-6818
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Provider Business Mailing Address
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Address Line | 3469 LAWRENCEVILLE HWY STE 208
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City | TUCKER
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State | GA
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Zip | 30084-5866
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Country | US
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Telephone | 888-832-1550
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Fax | 404-873-6818
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN048137
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License Number State | GA
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