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General NPI Number Information
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NPI Number | 1447784483
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Entity Type | Individual
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Provider Name | ARNITA GRANT
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Gender | Female
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 6310 GREEN SPRING AVENUE SUITE 303
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City | BALTIMORE
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State | MD
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Zip | 21209
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Country | US
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Telephone | 443-929-3228
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Fax |
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Provider Business Mailing Address
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Address Line | 6310 GREENSPRING AVE
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City | BALTIMORE
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State | MD
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Zip | 21209-5500
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Country | US
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Telephone | 443-929-3228
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 41878
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number | 41878
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License Number State | MD
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