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General NPI Number Information
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NPI Number | 1780638577
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Entity Type | Individual
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Provider Name | DENISE KATHRYN GRIFFIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 06/19/2017
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Provider Practice Location Address
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Address Line | 6101 WEBB RD SUITE 210
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City | TAMPA
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State | FL
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Zip | 33615-2872
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Country | US
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Telephone | 813-249-0922
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Fax | 813-886-3903
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Provider Business Mailing Address
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Address Line | 6101 WEBB RD SUITE 210
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City | TAMPA
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State | FL
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Zip | 33615-2872
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Country | US
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Telephone | 813-249-0922
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Fax | 813-886-3903
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 49965
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME00647727
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License Number State | FL
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