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General NPI Number Information
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NPI Number | 1871598003
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Entity Type | Individual
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Provider Name | CLAIRMONTE ALI GRIFFITH CRNA MSN
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Gender | Male
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 1215 LEE ST
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22908-0816
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Country | US
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Telephone | 434-982-0116
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Fax | 434-924-2078
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Provider Business Mailing Address
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Address Line | 330 WHISPERING OAKS DR
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-7246
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Country | US
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Telephone | 434-971-6635
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNA073522
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License Number State | VA
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