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General NPI Number Information
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NPI Number | 1982925764
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Entity Type | Individual
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Provider Name | ROXANNE M GRIFFIN L.M.H.C.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2010
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 111 2ND AVE NE 918
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-3434
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Country | US
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Telephone | 727-641-3819
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Fax |
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Provider Business Mailing Address
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Address Line | 5932 LEELAND ST S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33715-1636
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Country | US
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Telephone | 727-641-3819
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Fax | 727-864-3757
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH8092
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License Number State | FL
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