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General NPI Number Information
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NPI Number | 1225446818
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Entity Type | Organization
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Legal Business Name | VERMONT VETERINARY CARDIOLOGY SERVICES
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Dates
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Enumeration Date | 07/27/2014
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Last Update Date | 07/27/2014
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Provider Practice Location Address
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Address Line | 158 HURRICANE LN
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City | WILLISTON
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State | VT
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Zip | 05495-2072
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Country | US
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Telephone | 802-878-2022
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Fax | 866-627-0388
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Provider Business Mailing Address
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Address Line | 158 HURRICANE LN
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City | WILLISTON
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State | VT
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Zip | 05495-2072
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Country | US
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Telephone | 802-878-2022
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Fax | 866-627-0388
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Authorized Official
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Title or Position | VETERINARIAN
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Name | DR. DONALD J BROWN
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Credential | D.V.M.
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Telephone | 802-477-2877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 052.0001729
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License Number State | VT
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