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General NPI Number Information
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NPI Number | 1932511797
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Entity Type | Individual
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Provider Name | IRIS GRIFFIN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 6161 S YALE AVE
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City | TULSA
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State | OK
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Zip | 74136-1902
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Country | US
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Telephone | 918-494-1761
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Fax | 918-494-1470
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Provider Business Mailing Address
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Address Line | 10912 S 77TH EAST PL
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City | TULSA
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State | OK
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Zip | 74133-4872
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Country | US
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Telephone | 918-625-0838
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 1572
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License Number State | OK
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