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General NPI Number Information
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NPI Number | 1275845943
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Entity Type | Organization
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Legal Business Name | DOUGLAS L. DIER, M.D., P.C
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Dates
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Enumeration Date | 07/09/2010
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 98 ALLEN ST
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City | RUTLAND
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State | VT
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Zip | 05701-4776
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Country | US
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Telephone | 802-775-3374
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Fax |
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Provider Business Mailing Address
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Address Line | 98 ALLEN ST STE 4
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City | RUTLAND
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State | VT
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Zip | 05701-4776
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Country | US
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Telephone | 802-775-3374
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Fax | 802-747-4521
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Authorized Official
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Title or Position | OWNER
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Name | DR. DOUGLAS L DIER
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Credential | MD
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Telephone | 802-775-3374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 042-0007797
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License Number State | VT
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