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General NPI Number Information
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NPI Number | 1558511121
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Entity Type | Individual
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Provider Name | JERRI LEEANN GRIFFITH M.S.
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Gender | Female
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Dates
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Enumeration Date | 09/19/2008
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Last Update Date | 09/19/2008
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Provider Practice Location Address
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Address Line | 2700 MAIN ST
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City | LITTLE ROCK
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State | AR
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Zip | 72206-3138
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Country | US
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Telephone | 501-447-6744
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Fax | 501-447-6701
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Provider Business Mailing Address
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Address Line | 117 RIVER VALLEY LOOP
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City | MAUMELLE
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State | AR
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Zip | 72113-7137
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Country | US
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Telephone | 501-851-6360
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Fax | 501-447-6701
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 1358
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License Number State | AR
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