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General NPI Number Information
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NPI Number | 1477078871
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Entity Type | Individual
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Provider Name | ELISE GRIFFIN
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Gender | Female
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Dates
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Enumeration Date | 08/07/2017
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 7210 SW 57TH AVE STE 216
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5321
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Country | US
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Telephone | 305-668-3596
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Fax |
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Provider Business Mailing Address
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Address Line | 9360 SW 181ST ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5760
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Country | US
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Telephone | 786-853-7325
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Fax |
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI2998
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License Number State | FL
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