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General NPI Number Information
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NPI Number | 1225188584
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Entity Type | Individual
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Provider Name | SHALENE K GRINDER LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 12/12/2017
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Provider Practice Location Address
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Address Line | 2325 CRESTMOOR RD STE 204
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City | NASHVILLE
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State | TN
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Zip | 37215-2027
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Country | US
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Telephone | 629-255-2211
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Fax | 629-255-4084
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Provider Business Mailing Address
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Address Line | 222 22ND AVE N
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City | NASHVILLE
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State | TN
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Zip | 37203-1852
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Country | US
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Telephone | 629-255-3486
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 3377
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License Number State | TN
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