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General NPI Number Information
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NPI Number | 1750068318
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Entity Type | Individual
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Provider Name | KATHERINE GRIFFIN NP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 1101 MACES LN
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City | CAMBRIDGE
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State | MD
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Zip | 21613-2619
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Country | US
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Telephone | 410-228-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 327 TILGHMAN RD STE 200
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City | SALISBURY
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State | MD
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Zip | 21804-2015
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Country | US
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Telephone | 443-944-3351
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R222490
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License Number State | MD
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