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General NPI Number Information
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NPI Number | 1275059644
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Entity Type | Organization
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Legal Business Name | SOUTHWESTERN VERMONT MEDICAL CENTER, INC
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 08/17/2017
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Provider Practice Location Address
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Address Line | 140 HOSPITAL DR STE 104
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City | BENNINGTON
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State | VT
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Zip | 05201-5010
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Country | US
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Telephone | 802-442-6361
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HOSPITAL DRIVE BOX 44
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City | BENNINGTON
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State | VT
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Zip | 05201
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Country | US
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Telephone | 802-447-4587
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | DREW LERMAN
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Credential |
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Telephone | 802-447-4587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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