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General NPI Number Information
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NPI Number | 1063438000
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Entity Type | Individual
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Provider Name | MARGARET ANN BOLTON M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9 HEATON ST
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City | MONTPELIER
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State | VT
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Zip | 05602-2489
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Country | US
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Telephone | 802-229-0591
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Fax |
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Provider Business Mailing Address
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Address Line | 87 CRANE PT
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City | VERGENNES
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State | VT
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Zip | 05491-8726
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Country | US
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Telephone | 802-759-3737
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 042-0008806
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License Number State | VT
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