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General NPI Number Information
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NPI Number | 1023522182
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Entity Type | Individual
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Provider Name | LAURETTE GODIN RN
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Gender | Female
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Dates
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Enumeration Date | 11/28/2017
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Last Update Date | 11/28/2017
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Provider Practice Location Address
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Address Line | 16 POINT ROAD
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City | ELMORE
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State | VT
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Zip | 05657
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Country | US
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Telephone | 802-888-5032
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 131
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City | LOWELL
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State | VT
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Zip | 05847-0131
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Country | US
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Telephone | 802-673-8828
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 026.0022181
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 026.0022181
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License Number State | VT
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