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General NPI Number Information
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NPI Number | 1558584144
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Entity Type | Individual
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Provider Name | SUSAN GRIFFIN CADC-II
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4002 PARK BLVD SUITE C
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City | SAN DIEGO
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State | CA
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Zip | 92103-2600
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Country | US
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Telephone | 619-294-9852
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Fax | 619-291-2424
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Provider Business Mailing Address
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Address Line | 10601 TIERRASANTA BLVD STE G #233
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City | SAN DIEGO
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State | CA
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Zip | 92124-2616
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Country | US
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Telephone | 858-204-1176
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Fax | 858-467-9009
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A3518287
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License Number State | CA
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