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General NPI Number Information
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NPI Number | 1174817852
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Entity Type | Individual
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Provider Name | CHRISTIN E BLAND FNP
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Gender | Female
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 10 NORTH ST
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City | VERGENNES
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State | VT
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Zip | 05491-1107
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Country | US
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Telephone | 802-877-3466
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Fax | 802-877-1188
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Provider Business Mailing Address
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Address Line | 104 PORTER DR
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City | MIDDLEBURY
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State | VT
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Zip | 05753-8527
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Country | US
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Telephone | 802-388-5682
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Fax | 802-388-8322
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 026-0044169
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License Number State | VT
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