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General NPI Number Information
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NPI Number | 1245229988
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Entity Type | Individual
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Provider Name | ELAINE MCGRANE OLMSTEAD RN PMHCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 10/16/2005
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 532 GREAT RD
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City | ACTON
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State | MA
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Zip | 01720-3415
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Country | US
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Telephone | 978-263-0439
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Fax |
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Provider Business Mailing Address
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Address Line | 18 KINSLEY RD
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City | ACTON
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State | MA
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Zip | 01720-2808
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Country | US
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Telephone | 978-263-4320
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 158892
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License Number State | MA
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