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General NPI Number Information
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NPI Number | 1750208799
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Entity Type | Organization
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Legal Business Name | S. GRANT LLC
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 67 WEST ST UNIT 200
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City | MEDFIELD
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State | MA
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Zip | 02052-1577
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Country | US
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Telephone | 781-472-9197
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Fax |
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Provider Business Mailing Address
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Address Line | 1204 OLD BRIDGE LN
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City | BELLINGHAM
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State | MA
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Zip | 02019-3128
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Country | US
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Telephone | 781-801-9364
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | STEPHANIE D GRANT-WHITNEY
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Credential | MSN, APRN, PMHNP-BC
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Telephone | 781-801-9364
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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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