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General NPI Number Information
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NPI Number | 1114198074
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Entity Type | Organization
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Legal Business Name | VERMONT CHIROPRACTIC ORTHOPEDICS, INC
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 205 MAIN ST
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City | BRATTLEBORO
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State | VT
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Zip | 05301-2867
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Country | US
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Telephone | 802-257-5177
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Fax | 802-257-5178
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Provider Business Mailing Address
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Address Line | 205 MAIN ST
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City | BRATTLEBORO
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State | VT
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Zip | 05301-2867
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Country | US
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Telephone | 802-257-5177
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Fax | 802-257-5178
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARCY E JONES
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Credential | DC
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Telephone | 802-257-5177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 702
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License Number State | VT
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