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General NPI Number Information
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NPI Number | 1700913316
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Entity Type | Individual
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Provider Name | MR. ROBERT CHARLES GRIFFIN
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Gender | Male
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 06/10/2011
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Provider Practice Location Address
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Address Line | 7 MACLEAN DR
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City | LITTLETON
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State | CO
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Zip | 80123-6509
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Country | US
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Telephone | 303-805-0865
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Fax | 720-851-0393
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Provider Business Mailing Address
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Address Line | 7 MACLEAN DR
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City | LITTLETON
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State | CO
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Zip | 80123-6509
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Country | US
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Telephone | 303-805-0865
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Fax | 720-851-0393
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 116923
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 116923
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License Number State | CO
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