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General NPI Number Information
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NPI Number | 1215023759
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Entity Type | Organization
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Legal Business Name | CENTRAL VERMONT MEDICAL CENTER INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 142 WOODRIDGE DR.
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City | BERLIN
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State | VT
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Zip | 05602-9165
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Country | US
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Telephone | 802-371-4700
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Fax | 802-371-4720
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Provider Business Mailing Address
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Address Line | PO BOX 550
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City | BARRE
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State | VT
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Zip | 05641-0550
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Country | US
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Telephone | 802-371-4700
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Fax | 802-371-4720
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Authorized Official
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Title or Position | CFO
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Name | CHEYENNE HOLLAND
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Credential |
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Telephone | 802-371-4109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 270000165
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License Number State | VT
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