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General NPI Number Information
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NPI Number | 1851129571
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Entity Type | Individual
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Provider Name | JENNIFER MICHELLE GRIFFIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 1120 E GERMAN LN
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City | CONWAY
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State | AR
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Zip | 72032-4555
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Country | US
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Telephone | 501-329-3733
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 EDITH CIR
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City | CONWAY
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State | AR
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Zip | 72032-5000
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD17060
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License Number State | AR
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