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General NPI Number Information
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NPI Number | 1104045822
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Entity Type | Individual
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Provider Name | MICHELLE A GUILIANO-KING DPM
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 162 N MAIN ST # 10
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City | RUTLAND
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State | VT
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Zip | 05701-3024
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Country | US
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Telephone | 802-775-2600
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Fax | 802-775-2662
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Provider Business Mailing Address
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Address Line | 3773 UPPER COLD RIVER RD
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City | SHREWSBURY
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State | VT
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Zip | 05738-9512
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Country | US
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Telephone | 802-775-0966
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 056-0000176
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License Number State | VT
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