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General NPI Number Information
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NPI Number | 1265556021
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Entity Type | Individual
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Provider Name | VICKI MARIE KIRBY RN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 11/26/2018
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Provider Practice Location Address
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Address Line | 636 RTE 73
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City | ORWELL
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State | VT
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Zip | 05760-9625
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Country | US
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Telephone | 802-236-4136
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Fax | 802-948-2172
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Provider Business Mailing Address
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Address Line | 636 RTE 73
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City | ORWELL
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State | VT
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Zip | 05760-9625
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Country | US
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Telephone | 802-236-4136
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Fax | 802-948-2172
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 0260020659
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0260020659
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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 | 260020659
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License Number State | VT
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