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General NPI Number Information
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NPI Number | 1407376155
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Entity Type | Individual
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Provider Name | YIFAN MENG GRIFFIN MD
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Gender | Female
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 4712 N ARMENIA AVE STE 200
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City | TAMPA
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State | FL
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Zip | 33603-2611
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Country | US
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Telephone | 813-874-7500
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Fax | 813-872-0955
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Provider Business Mailing Address
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Address Line | 4712 N ARMENIA AVE STE 200
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City | TAMPA
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State | FL
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Zip | 33603-2611
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Country | US
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Telephone | 813-874-7500
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Fax | 813-872-0955
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 2017019494
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 01087942A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | ME166494
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License Number State | FL
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