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General NPI Number Information
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NPI Number | 1619983301
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Entity Type | Individual
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Provider Name | KATHLEEN ALEXIS GRIFFIN NP
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11411 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77065-3610
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Country | US
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Telephone | 281-890-0792
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Fax |
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Provider Business Mailing Address
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Address Line | 10606 ELMDALE DR
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City | HOUSTON
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State | TX
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Zip | 77070-3336
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Country | US
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Telephone | 281-732-4345
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 437928
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License Number State | TX
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