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General NPI Number Information
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NPI Number | 1982894093
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Entity Type | Individual
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Provider Name | TAMARA GRIFFITH
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Gender | Female
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 1239 MOUNT VERNON ST
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City | ORLANDO
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State | FL
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Zip | 32803-5417
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Country | US
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Telephone | 407-810-2773
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Fax |
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Provider Business Mailing Address
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Address Line | 11901 ABESS BLVD APT 3235
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City | JACKSONVILLE
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State | FL
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Zip | 32225-6038
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Country | US
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Telephone | 904-923-5943
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI1434
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA18255
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License Number State | FL
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