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General NPI Number Information
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NPI Number | 1255225413
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Entity Type | Individual
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Provider Name | DANICA GZL LOBATON COPPOLO RN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 185 GRAFTON RD
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City | TOWNSHEND
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State | VT
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Zip | 05353-8820
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Country | US
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Telephone | 802-365-7357
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Fax |
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Provider Business Mailing Address
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Address Line | 59 LOOP RD
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City | NEWFANE
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State | VT
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Zip | 05345-9641
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Country | US
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Telephone | 928-358-9687
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 026.0148253
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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 | 026.0148253
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License Number State | VT
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