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General NPI Number Information
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NPI Number | 1295675676
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Entity Type | Individual
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Provider Name | MS. TAYLOR RENEE PRESEAU
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Gender | Female
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Dates
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Enumeration Date | 03/28/2026
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Last Update Date | 03/28/2026
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Provider Practice Location Address
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Address Line | 163 VETERANS DR
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City | WHITE RIVER JUNCTION
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State | VT
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Zip | 05001-7005
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Country | US
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Telephone | 802-295-9363
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Fax |
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Provider Business Mailing Address
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Address Line | 60 SUMMER ST APT 1
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City | CHARLESTOWN
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State | NH
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Zip | 03603-5025
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Country | US
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Telephone |
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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 | 126800000X
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Taxonomy Name | Dental Assistant
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License Number | 014.0134615
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License Number State | VT
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