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General NPI Number Information
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NPI Number | 1699757534
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Entity Type | Organization
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Legal Business Name | GRIFFIN ORTHOPEDIC TECHNOLOGIES INC
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 696 MAIN ST SUITE 9
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City | MARSHFIELD
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State | MA
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Zip | 02050-2018
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Country | US
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Telephone | 781-837-2294
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Fax | 781-837-2294
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Provider Business Mailing Address
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Address Line | PO BOX 386
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City | GREEN HARBOR
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State | MA
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Zip | 02041-0386
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Country | US
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Telephone | 781-837-2294
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Fax | 781-837-2294
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN J GRIFFIN
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Credential | CPO
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Telephone | 781-837-2294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | CPO02429
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License Number State | DE
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