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General NPI Number Information
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NPI Number | 1629094354
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Entity Type | Organization
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Legal Business Name | GRIFFITH FAMILY CHIROPRACTIC CENTER PC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 10170 STAPLES MILL RD SUITE C
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City | GLEN ALLEN
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State | VA
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Zip | 23060-3450
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Country | US
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Telephone | 804-501-2280
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Fax | 804-501-2281
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Provider Business Mailing Address
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Address Line | 10170 STAPLES MILL RD SUITE C
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City | GLEN ALLEN
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State | VA
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Zip | 23060-3450
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Country | US
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Telephone | 804-501-2280
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Fax | 804-501-2281
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAWRENCE F GRIFFITH JR.
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Credential | D.C.
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Telephone | 804-501-2280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104556256
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License Number State | VA
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