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General NPI Number Information
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NPI Number | 1376493403
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Entity Type | Individual
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Provider Name | SHANNON ADAM GRAMAS LMSW
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Gender | Male
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 77 S MAIN ST
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City | NEW CITY
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State | NY
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Zip | 10956-3511
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Country | US
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Telephone | 845-634-5729
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Fax |
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Provider Business Mailing Address
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Address Line | 36 HAWTHORNE PL APT 3V
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3283
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Country | US
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Telephone | 845-634-5729
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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 |
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License Number State |
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