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General NPI Number Information
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NPI Number | 1235403452
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Entity Type | Organization
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Legal Business Name | ERNEST D. LAPIERRE, M.S., L.L.C
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 17B JERSEY CT UNIT 2
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City | MORRISVILLE
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State | VT
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Zip | 05661-8381
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Country | US
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Telephone | 802-888-9412
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Fax | 802-888-9412
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Provider Business Mailing Address
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Address Line | 17B JERSEY CT UNIT 2
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City | MORRISVILLE
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State | VT
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Zip | 05661-8381
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Country | US
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Telephone | 802-888-9412
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Fax | 802-888-9412
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERNEST DALE LAPIERRE
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Credential | D.S.N., A.P.R.N.
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Telephone | 802-888-9412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1010075954
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License Number State | VT
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