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General NPI Number Information
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NPI Number | 1124998661
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Entity Type | Individual
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Provider Name | MARISSA PAPPALARDO
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Gender | Female
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 95 COLLEGE ST
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City | BURLINGTON
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State | VT
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Zip | 05401-8426
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Country | US
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Telephone | 802-333-0112
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Fax |
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Provider Business Mailing Address
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Address Line | 4630 GREENBUSH RD
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City | CHARLOTTE
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State | VT
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Zip | 05445-9499
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Country | US
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Telephone | 802-333-0112
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 097.0136616
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License Number State | VT
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