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General NPI Number Information
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NPI Number | 1992100465
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Entity Type | Individual
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Provider Name | GRIFFIN POLLOCK SUTTON PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 19 S HAMPSTEAD VILLAGE DR
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City | HAMPSTEAD
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State | NC
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Zip | 28443-3934
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Country | US
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Telephone | 910-803-1434
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Fax | 855-672-7002
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Provider Business Mailing Address
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Address Line | PO BOX 970
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City | HAMPSTEAD
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State | NC
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Zip | 28443-0970
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Country | US
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Telephone | 910-803-1434
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Fax | 855-672-7002
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 4633
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4633
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License Number State | NC
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