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General NPI Number Information
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NPI Number | 1568679512
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Entity Type | Individual
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Provider Name | DENNIS GRIFFIN ATC
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 614 WEST SUPERIOR STREET
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City | ALMA
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State | MI
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Zip | 48801-1599
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Country | US
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Telephone | 989-463-7988
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Fax | 989-463-7018
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Provider Business Mailing Address
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Address Line | 908 WEST CENTER STREET
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City | ALMA
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State | MI
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Zip | 48801-1599
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Country | US
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Telephone | 989-463-7988
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Fax | 989-463-7018
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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