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General NPI Number Information
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NPI Number | 1922902261
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Entity Type | Organization
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Legal Business Name | PATRICIA E GRANGER LCSW RN PLLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 176 PAPAWAI DR
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City | BASTROP
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State | TX
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Zip | 78602-6203
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Country | US
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Telephone | 512-718-2518
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Fax |
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Provider Business Mailing Address
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Address Line | 176 PAPAWAI DR
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City | BASTROP
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State | TX
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Zip | 78602-6203
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Country | US
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Telephone | 512-718-2518
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA E GRANGER
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Credential | LCSW RN
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Telephone | 512-718-2518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | NULL
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