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General NPI Number Information
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NPI Number | 1700870839
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Entity Type | Individual
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Provider Name | STEVEN THOMAS GRIGGS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/05/2005
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Last Update Date | 04/01/2016
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Provider Practice Location Address
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Address Line | 456 E GRAND AVE #301
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City | ESCONDIDO
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State | CA
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Zip | 92025-3319
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Country | US
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Telephone | 760-746-8355
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Fax | 760-471-1844
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Provider Business Mailing Address
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Address Line | 210 S JUNIPER ST STE 205
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City | ESCONDIDO
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State | CA
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Zip | 92025-4200
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Country | US
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Telephone | 760-746-8355
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Fax | 760-471-1844
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY8534
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License Number State | CA
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