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General NPI Number Information
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NPI Number | 1700340429
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Entity Type | Individual
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Provider Name | LAURA GRIFFITH
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Gender | Female
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Dates
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Enumeration Date | 01/27/2019
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Last Update Date | 01/27/2019
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Provider Practice Location Address
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Address Line | 200 S SYKES CREEK PKWY
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City | MERRITT IS
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State | FL
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Zip | 32952-3561
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Country | US
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Telephone | 321-480-0099
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Fax |
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Provider Business Mailing Address
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Address Line | 200 S SYKES CREEK PKWY APT A210
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City | MERRITT IS
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State | FL
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Zip | 32952-3579
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Country | US
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Telephone |
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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 | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | 2019002148
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | 11001036
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License Number State | FL
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