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General NPI Number Information
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NPI Number | 1457542649
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Entity Type | Individual
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Provider Name | MARIANNA GRIFFITH LAW MD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 3237 BLUE RIDGE RD
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City | RALEIGH
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State | NC
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Zip | 27612
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Country | US
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Telephone | 919-781-7500
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Fax | 919-714-6005
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Provider Business Mailing Address
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Address Line | 3237 BLUE RIDGE RD
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City | RALEIGH
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State | NC
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Zip | 27612
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Country | US
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Telephone | 919-781-7500
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Fax | 919-645-3440
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 2015-01099
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License Number State | NC
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