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General NPI Number Information
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NPI Number | 1093222028
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Entity Type | Organization
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Legal Business Name | BURLINGTON PT
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Dates
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Enumeration Date | 12/28/2017
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Last Update Date | 12/28/2017
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Provider Practice Location Address
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Address Line | 39 BIRCHCLIFF PKWY
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City | BURLINGTON
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State | VT
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Zip | 05401-4901
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Country | US
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Telephone | 802-349-4716
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Fax |
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Provider Business Mailing Address
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Address Line | 80 AUSTIN DR APT 134
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City | BURLINGTON
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State | VT
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Zip | 05401-5480
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Country | US
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Telephone | 802-349-4716
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST, OWNER
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Name | SARAH LIVINGSTON
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Credential | DPT
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Telephone | 802-349-4716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | VT
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