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General NPI Number Information
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NPI Number | 1013831262
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Entity Type | Organization
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Legal Business Name | FULL CIRCLE MEDICINE
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Dates
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Enumeration Date | 08/08/2026
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Last Update Date | 08/08/2026
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Provider Practice Location Address
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Address Line | 430 IRELAND RD
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City | BRISTOL
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State | VT
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Zip | 05443-5015
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Country | US
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Telephone | 802-398-7040
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Fax | 802-944-0120
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Provider Business Mailing Address
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Address Line | 430 IRELAND RD
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City | BRISTOL
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State | VT
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Zip | 05443-5015
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Country | US
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Telephone | 802-398-7040
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Fax | 802-944-0120
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Authorized Official
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Title or Position | NURSE PRACTITIONER - PRACTICE OWNER
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Name | BRENDAN C CONROY
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Credential | APRN
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Telephone | 802-398-7040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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