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General NPI Number Information
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NPI Number | 1770762601
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Entity Type | Organization
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Legal Business Name | CATHERINE M. GRIGGS, D.M.D.
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Dates
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Enumeration Date | 10/27/2007
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Last Update Date | 10/27/2007
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Provider Practice Location Address
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Address Line | 410 15TH ST E SUITE #B
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City | TUSCALOOSA
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State | AL
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Zip | 35401-3686
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Country | US
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Telephone | 205-345-1136
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Fax | 205-345-1844
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Provider Business Mailing Address
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Address Line | 410 15TH ST E SUITE #B
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City | TUSCALOOSA
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State | AL
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Zip | 35401-3686
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Country | US
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Telephone | 205-345-1136
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Fax | 205-345-1844
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Authorized Official
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Title or Position | OWNER
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Name | DR. CATHERINE M GRIGGS
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Credential | D.M.D.
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Telephone | 205-345-1136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | AL3849
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License Number State | AL
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