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General NPI Number Information
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NPI Number | 1740800895
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Entity Type | Individual
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Provider Name | ALEXANDRA D GRIFFIN LSW
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Gender | Female
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Dates
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Enumeration Date | 04/19/2020
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 306 W UNION ST
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City | ATHENS
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State | OH
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Zip | 45701-2312
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Country | US
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Telephone | 740-357-8615
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 396
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City | SPRINGBORO
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State | OH
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Zip | 45066-0396
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Country | US
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Telephone | 740-357-8615
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2005304
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License Number State | OH
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