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General NPI Number Information
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NPI Number | 1215338389
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Entity Type | Organization
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Legal Business Name | PATHWAYS TO HOUSING VT, INC.
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 191 NORTH ST
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City | BURLINGTON
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State | VT
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Zip | 05401-4247
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Country | US
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Telephone | 888-492-8218
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Fax | 855-362-2766
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Provider Business Mailing Address
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Address Line | 1233 SHELBURNE RD SUITE E6
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-7700
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Country | US
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Telephone | 888-492-8218
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Fax | 855-362-2766
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | HILARY MELTON
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Credential |
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Telephone | 888-492-8218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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