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General NPI Number Information
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NPI Number | 1851573505
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Entity Type | Organization
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Legal Business Name | DR. RODNEY B. GRIFFITH
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 1462 HIGHWAY 15 N
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City | JACKSON
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State | KY
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Zip | 41339-9404
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Country | US
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Telephone | 606-666-2966
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Fax | 606-666-7526
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Provider Business Mailing Address
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Address Line | 1462 HIGHWAY 15 N
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City | JACKSON
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State | KY
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Zip | 41339-9404
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Country | US
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Telephone | 606-666-2966
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Fax | 606-666-7526
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. RODNEY B. GRIFFITH
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Credential | D.M.D
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Telephone | 606-666-2966
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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 | 6788
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License Number State | KY
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