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General NPI Number Information
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NPI Number | 1225493232
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Entity Type | Individual
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Provider Name | CAROL MOORE-WHITNEY MSN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 12/17/2015
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 1315 HOSPITAL DR NORTHEASTERN VERMONT REGIONAL HOSPITAL
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City | ST. JOHNSBURY
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State | VT
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Zip | 05819-9962
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Country | US
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Telephone | 802-748-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 1315 HOSPITAL DR NVRH,
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City | ST. JOHNSBURY
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State | VT
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Zip | 05819
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Country | US
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Telephone | 802-748-7333
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Fax |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 101.0138407
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 101.0138407
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 026.0017838
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License Number State | VT
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