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General NPI Number Information
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NPI Number | 1316748338
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Entity Type | Organization
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Legal Business Name | NOMADVAX LLC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 228 SHORE ACRES DR
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City | COLCHESTER
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State | VT
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Zip | 05446-9669
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Country | US
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Telephone | 802-495-9066
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Fax |
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Provider Business Mailing Address
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Address Line | 228 SHORE ACRES DR
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City | COLCHESTER
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State | VT
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Zip | 05446-9669
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Country | US
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Telephone | 802-495-9066
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHERYL SKAAR
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Credential | PHARMD
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Telephone | 802-495-9066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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