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NPI 1063366037

NPI 1063366037 : GRIT : CANTON, ME

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General NPI Number Information
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    NPI Number           |    1063366037
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    Entity Type          |    Organization 
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    Legal Business Name  |    GRIT 
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Dates
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    Enumeration Date     |    02/25/2026
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    Last Update Date     |    02/25/2026
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Provider Practice Location Address
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    Address Line         |    1 SHELAKIS DR 
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    City                 |    CANTON
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    State                |    ME
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    Zip                  |    04221-3222
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    Country              |    US
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    Telephone            |    207-418-8444
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1 SHELAKIS DR 
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    City                 |    CANTON
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    State                |    ME
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    Zip                  |    04221-3222
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    Country              |    US
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    Telephone            |    207-418-8444
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHAIR
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    Name                 |     MARY  WAINWRIGHT 
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    Credential           |    LCSW
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    Telephone            |    207-418-8444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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