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General NPI Number Information
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NPI Number | 1508281536
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Entity Type | Organization
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Legal Business Name | GRIFFITH & CO. SURGICAL FIRST ASSISTING, LLC
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 03/07/2014
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Provider Practice Location Address
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Address Line | 835 MONROE ST
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City | NEWPORT
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State | KY
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Zip | 41071-2062
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Country | US
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Telephone | 859-415-2862
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Fax | 859-415-2863
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Provider Business Mailing Address
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Address Line | PO BOX 72993
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City | NEWPORT
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State | KY
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Zip | 41072-0993
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Country | US
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Telephone | 859-415-2862
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Fax | 859-415-2863
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Authorized Official
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Title or Position | PROPRIETOR
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Name | MR. BILLY A. GRIFFITH JR.
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Credential | CSFA
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Telephone | 859-415-2862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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