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1780364976 NPI number — ANTOINETTE MARIE GRANT BS, CAC-AD

NPI Number: 1780364976
Health Care Provider/Practitioner: ANTOINETTE MARIE GRANT BS, CAC-AD

Information about “1780364976” NPI (ANTOINETTE MARIE GRANT BS, CAC-AD) exists in 1780364976 in HTML format HTML  |  1780364976 in plain Text format TXT  |  1780364976 in PDF (Portable Document Format) PDF  |  1780364976 in an XML format XML  formats.

NPI Number : 1780364976 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780364976",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRANT",
    "FirstName": "ANTOINETTE",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BS, CAC-AD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2 LANDRUM CT APT 304",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PARKVILLE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21234-1747",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-943-2984",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "817 N CALVERT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BALTIMORE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21202-3705",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-290-6424",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/21/2023",
    "LastUpdateDate": "07/21/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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