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General NPI Number Information
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NPI Number | 1467561126
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Entity Type | Organization
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Legal Business Name | PAUL A. GRIFFIN, M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1165 PHELPS AVE SUITE 203
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City | COALINGA
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State | CA
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Zip | 93210-9663
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Country | US
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Telephone | 559-935-5555
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Fax | 559-935-2827
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Provider Business Mailing Address
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Address Line | 1165 PHELPS AVE SUITE 203
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City | COALINGA
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State | CA
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Zip | 93210-9663
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Country | US
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Telephone | 559-935-5555
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Fax | 559-935-2827
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL A GRIFFIN
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Credential | M.D.
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Telephone | 559-935-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A51583
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A56516
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A90195
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A80314
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA12399
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License Number State | CA
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