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General NPI Number Information
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NPI Number | 1629793922
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Entity Type | Individual
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Provider Name | DR. RYAN MICHAEL GRIFFIN
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Gender | Male
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 492 CONCORD ST
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City | FRAMINGHAM
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State | MA
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Zip | 01702-2322
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Country | US
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Telephone | 508-820-9218
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Fax |
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Provider Business Mailing Address
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Address Line | 341 MUCCIARONE RD
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City | FRANKLIN
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State | MA
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Zip | 02038-2909
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Country | US
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Telephone | 774-239-7597
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 236203
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License Number State | MA
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