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General NPI Number Information
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NPI Number | 1649542549
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Entity Type | Organization
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Legal Business Name | WILLIAM L. GRIFFIN, JR. M.D., INC
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 6181 N. THESTA SUITE 101
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City | FRESNO
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State | CA
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Zip | 93710-8604
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Country | US
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Telephone | 559-435-6222
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Fax | 559-435-7105
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Provider Business Mailing Address
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Address Line | 6181 N THESTA ST SUITE 101
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City | FRESNO
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State | CA
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Zip | 93710-8604
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Country | US
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Telephone | 559-435-6222
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Fax | 559-435-7105
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM L. GRIFFIN JR.
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Credential | M.D.
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Telephone | 559-435-6222
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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 | 00C389670
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License Number State | CA
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