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General NPI Number Information
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NPI Number | 1750640454
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Entity Type | Individual
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Provider Name | ANGELA M GRIFFIN FNP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2012
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 2034 E SOUTHERN AVE SUITE B
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City | TEMPE
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State | AZ
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Zip | 85282
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Country | US
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Telephone | 480-400-3175
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Fax | 772-404-7932
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Provider Business Mailing Address
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Address Line | 4119 W BEVERLY RD
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City | LAVEEN
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State | AZ
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Zip | 85339
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Country | US
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Telephone | 480-824-8170
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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 | AP 4333
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP43333
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License Number State | AZ
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