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General NPI Number Information
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NPI Number | 1609851997
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Entity Type | Organization
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Legal Business Name | VICKY J GRIFFIN DO PA
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 3261 GULF BREEZE PKWY
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City | GULF BREEZE
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State | FL
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Zip | 32563-3349
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Country | US
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Telephone | 850-916-4300
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Fax | 850-916-4399
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Provider Business Mailing Address
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Address Line | PO BOX 935
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City | GULF BREEZE
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State | FL
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Zip | 32562-0935
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Country | US
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Telephone | 850-916-4300
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Fax | 850-916-4399
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Authorized Official
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Title or Position | OWNER
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Name | VICKY J. GRIFFIN
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Credential | DO
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Telephone | 850-916-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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