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General NPI Number Information
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NPI Number | 1508738121
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Entity Type | Organization
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Legal Business Name | GROUND & GROWTH PLLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 529 MAIN ST STE P200
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City | CHARLESTOWN
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State | MA
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Zip | 02129-1134
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Country | US
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Telephone | 617-676-8550
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Fax |
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Provider Business Mailing Address
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Address Line | 529 MAIN ST STE P200
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City | CHARLESTOWN
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State | MA
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Zip | 02129-1134
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Country | US
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Telephone | 617-681-8107
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Fax | 781-494-5696
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Authorized Official
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Title or Position | PMHNP-BC
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Name | STEPHANIE ETIENNE
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Credential | NP
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Telephone | 617-461-1556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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