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General NPI Number Information
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NPI Number | 1346339702
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Entity Type | Organization
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Legal Business Name | STATE OF VERMONT - DEPARTMENT FOR CHILDREN & FAMILIES
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 103 S MAIN ST OSGOOD I
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City | WATERBURY
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State | VT
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Zip | 05671-9800
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Country | US
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Telephone | 802-241-2252
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Fax | 802-241-1106
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Provider Business Mailing Address
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Address Line | 103 S MAIN ST OSGOOD I
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City | WATERBURY
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State | VT
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Zip | 05671-9800
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Country | US
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Telephone | 802-241-2252
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Fax | 802-241-1106
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Authorized Official
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Title or Position | CHIEF MEDICAID ACCOUNTANT
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Name | MRS. DEBRA DRAPP
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Credential |
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Telephone | 802-241-2344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | VT
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