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General NPI Number Information
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NPI Number | 1578450870
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Entity Type | Individual
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Provider Name | DANEISHA GRIFFIN
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Gender | Female
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 105 W MIRIAM AVE
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City | COLUMBIA
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State | SC
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Zip | 29203-4038
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Country | US
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Telephone | 803-216-1512
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Fax |
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Provider Business Mailing Address
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Address Line | 100 OLD CHEROKEE RD # F386
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City | LEXINGTON
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State | SC
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Zip | 29072-9316
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Country | US
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Telephone | 216-258-2363
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Fax |
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 51118
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License Number State | SC
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