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General NPI Number Information
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NPI Number | 1124896972
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Entity Type | Organization
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Legal Business Name | GRIN GRANT INC
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Dates
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Enumeration Date | 12/12/2023
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 628 N BROADWAY STE 302
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City | LEXINGTON
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State | KY
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Zip | 40508-3726
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Country | US
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Telephone | 859-309-0150
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Fax | 859-309-0154
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Provider Business Mailing Address
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Address Line | 7145 E VIRGINIA ST STE 2000
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City | EVANSVILLE
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State | IN
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Zip | 47715-9147
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Country | US
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Telephone | 812-962-7894
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MARY HELEN SHASHY
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Credential | APSS
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Telephone | 859-629-1214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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