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General NPI Number Information
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NPI Number | 1518479237
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Entity Type | Individual
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Provider Name | DOUGLAS GRIFFITHS LLBSW
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Gender | Male
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 17320 W 12 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2100
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Country | US
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Telephone | 248-727-3456
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Fax | 248-557-4697
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Provider Business Mailing Address
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Address Line | PO BOX 289
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City | MASON
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State | MI
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Zip | 48854-0289
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Country | US
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Telephone | 517-676-5405
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Fax | 517-676-5460
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 6802089775
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License Number State | MI
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