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General NPI Number Information
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NPI Number | 1366564387
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Entity Type | Individual
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Provider Name | MARGARET GRANT M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 4505 S MARYLAND PKWY
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City | LAS VEGAS
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State | NV
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Zip | 89154-9900
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Country | US
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Telephone | 702-895-3627
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Fax | 808-236-8647
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Provider Business Mailing Address
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Address Line | PO BOX 452005
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City | LAS VEGAS
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State | NV
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Zip | 89154-2005
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Country | US
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Telephone | 702-895-3627
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD-12594
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 16680
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License Number State | NV
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