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General NPI Number Information
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NPI Number | 1366688665
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Entity Type | Individual
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Provider Name | WILL DICKSON GRIFFETH MD
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Gender | Male
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Dates
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Enumeration Date | 12/17/2008
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 426 W MAIN ST
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City | SALEM
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State | VA
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Zip | 24153-3610
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Country | US
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Telephone | 540-855-3554
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Fax | 540-342-4373
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Provider Business Mailing Address
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Address Line | PO BOX 1789
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City | ROANOKE
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State | VA
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Zip | 24008-1789
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Country | US
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Telephone | 540-855-3554
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Fax | 540-342-4373
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101259817
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License Number State | VA
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