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General NPI Number Information
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NPI Number | 1194722066
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Entity Type | Organization
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Legal Business Name | GREEN MOUNTAIN SPEECH & HEARING SERVICES INC.
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Dates
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Enumeration Date | 07/06/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 58 E STATE ST
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City | MONTPELIER
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State | VT
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Zip | 05602-3043
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Country | US
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Telephone | 802-223-6119
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Fax | 802-223-3054
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Provider Business Mailing Address
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Address Line | 58 E STATE ST
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City | MONTPELIER
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State | VT
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Zip | 05602-3043
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Country | US
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Telephone | 802-223-6119
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Fax | 802-223-3054
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Authorized Official
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Title or Position | PRESIDENT / AUDIOLOGIST
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Name | SANDRA D FARNUM
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Credential | MS, CCC-A
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Telephone | 802-223-6119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State | VT
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