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General NPI Number Information
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NPI Number | 1619235355
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Entity Type | Individual
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Provider Name | ROBERT DENISON GRIFFITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2012
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 6311 KINGSTON PIKE STE 22E
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City | KNOXVILLE
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State | TN
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Zip | 37919
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Country | US
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Telephone | 865-588-1361
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Fax | 865-584-7087
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Provider Business Mailing Address
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Address Line | 6311 KINGSTON PIKE STE 22E
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City | KNOXVILLE
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State | TN
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Zip | 37919-4900
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Country | US
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Telephone | 865-588-1361
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Fax | 865-584-7087
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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 | 57954
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License Number State | TN
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