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General NPI Number Information
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NPI Number | 1679402697
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Entity Type | Individual
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Provider Name | JADEN GRIFFIN
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Gender | Male
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 255 MAIN ST STE 120
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1509
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Country | US
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Telephone | 484-806-0044
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 GREENHILL RD
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City | LANSDOWNE
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State | PA
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Zip | 19050-1013
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Country | US
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Telephone | 215-594-6952
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TE013971
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License Number State | PA
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