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General NPI Number Information
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NPI Number | 1487634549
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Entity Type | Individual
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Provider Name | ANTHONY M GRIFFAY M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 19333 W NORTH AVE ELMBROOK MEMORIAL HOSPITAL
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City | BROOKFIELD
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State | WI
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Zip | 53045-4132
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Country | US
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Telephone | 262-785-2060
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Fax |
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Provider Business Mailing Address
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Address Line | N56W33166 IVY LN
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City | NASHOTAH
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State | WI
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Zip | 53058-9471
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Country | US
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Telephone | 414-350-4991
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Fax | 262-369-0934
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 33169-020
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License Number State | WI
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