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General NPI Number Information
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NPI Number | 1235435751
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Entity Type | Individual
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Provider Name | ELIZABETH ANN GERAN ACUPUNCTURE
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Gender | Female
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 1 MILL ST
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City | BURLINGTON
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State | VT
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Zip | 05401-1530
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Country | US
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Telephone | 802-233-5037
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Fax |
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Provider Business Mailing Address
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Address Line | 17 WARNER CREEK
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City | UNDERHILL
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State | VT
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Zip | 05489
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Country | US
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Telephone | 802-233-5037
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 091.0000148
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License Number State | VT
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