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General NPI Number Information
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NPI Number | 1578568986
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Entity Type | Individual
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Provider Name | MARY ELIZABETH GRIFFIN DO
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Gender | Female
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | ONE BALA PLAZA SUITE 620
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City | BALA CYNWYD
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State | PA
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Zip | 19004
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Country | US
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Telephone | 610-664-3300
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Fax | 610-664-1151
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Provider Business Mailing Address
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Address Line | ONE BALA PLAZA SUITE 620
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City | BALA CYNWYD
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State | PA
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Zip | 19004
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Country | US
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Telephone | 610-664-3300
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Fax | 610-664-1151
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | OS012012
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License Number State | PA
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