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General NPI Number Information
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NPI Number | 1013481423
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Entity Type | Individual
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Provider Name | CHRISTINE ROSE GERMANO MS, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 01/18/2019
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Last Update Date | 01/18/2019
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Provider Practice Location Address
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Address Line | 34 ELMWOOD AVE
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City | BURLINGTON
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State | VT
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Zip | 05401-4346
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Country | US
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Telephone | 802-870-6858
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Fax |
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Provider Business Mailing Address
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Address Line | 7 CANINE RD
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City | JERICHO
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State | VT
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Zip | 05465-9646
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Country | US
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Telephone | 802-862-3955
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 068.0093358
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License Number State | VT
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