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General NPI Number Information
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NPI Number | 1386712560
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Entity Type | Individual
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Provider Name | TRACY COX GRIFFITH A-GNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 13640 N PLAZA DEL RIO BLVD
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City | PEORIA
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State | AZ
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Zip | 85381-4846
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Country | US
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Telephone | 623-285-0306
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Fax | 602-747-3120
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Provider Business Mailing Address
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Address Line | 13640 N PLAZA DEL RIO BLVD
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City | PEORIA
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State | AZ
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Zip | 85381-4846
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Country | US
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Telephone | 623-285-0306
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Fax | 602-747-3120
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC19015
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 13622
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN171656
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | RNP273255
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 614997
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License Number State | TX
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