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General NPI Number Information
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NPI Number | 1356067011
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Entity Type | Individual
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Provider Name | AREUM BAN
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Gender | Female
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Dates
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Enumeration Date | 10/14/2022
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 263 COURT ST
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City | MIDDLEBURY
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State | VT
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Zip | 05753-8986
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Country | US
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Telephone | 802-388-9573
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Fax |
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Provider Business Mailing Address
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Address Line | 212 S VILLAGE GRN UNIT 204
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City | MIDDLEBURY
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State | VT
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Zip | 05753-6909
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Country | US
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Telephone | 857-287-4272
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 033.0134815
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License Number State | VT
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