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General NPI Number Information
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NPI Number | 1871658104
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Entity Type | Individual
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Provider Name | ROSEMARY GRIFFITH CNM, NP
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 4 TECHNOLOGY DR
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City | EAST SETAUKET
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State | NY
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Zip | 11733-4068
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Country | US
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Telephone | 631-444-4686
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Fax |
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Provider Business Mailing Address
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Address Line | 153 RYERSON AVE
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City | MANORVILLE
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State | NY
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Zip | 11949-2406
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Country | US
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Telephone | 631-874-4810
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | F000870
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 360403
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License Number State | NY
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