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General NPI Number Information
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NPI Number | 1346365640
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Entity Type | Organization
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Legal Business Name | CHARLES EDWARD MCGRIFF
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 2915 S LANCASTER RD
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City | DALLAS
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State | TX
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Zip | 75216-4418
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Country | US
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Telephone | 214-371-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 2915 S LANCASTER RD
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City | DALLAS
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State | TX
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Zip | 75216-4418
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Country | US
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Telephone | 214-371-8888
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CHARLES EDWARD MCGRIFF
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Credential |
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Telephone | 214-729-0874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 010896
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License Number State | TX
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