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General NPI Number Information
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NPI Number | 1669441820
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Entity Type | Individual
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Provider Name | DAVID DANIEL GRIGGS O.D.
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Gender | Male
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 2800 SPRING AVE SW
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City | DECATUR
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State | AL
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Zip | 35603-1218
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Country | US
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Telephone | 256-355-5775
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Fax | 256-355-3263
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Provider Business Mailing Address
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Address Line | 404 BROOKWOOD DR E
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City | ATHENS
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State | AL
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Zip | 35613-2304
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Country | US
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Telephone | 256-497-7736
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Fax | 256-355-3263
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S-966-TA-523
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License Number State | AL
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