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General NPI Number Information
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NPI Number | 1790460756
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Entity Type | Individual
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Provider Name | STEPHANIE D GRANT-WHITNEY PMHNP - BC, CNP
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Gender | Female
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 160 OLD DERBY ST STE 457
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City | HINGHAM
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State | MA
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Zip | 02043-4062
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Country | US
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Telephone | 781-801-9364
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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 |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2339796
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License Number State | MA
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