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General NPI Number Information
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NPI Number | 1366063943
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Entity Type | Organization
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Legal Business Name | TALK OF THE TOWN, LLC
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 149 HILDRED DR
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City | BURLINGTON
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State | VT
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Zip | 05401-3692
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Country | US
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Telephone | 732-600-3282
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Fax |
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Provider Business Mailing Address
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Address Line | 149 HILDRED DR
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City | BURLINGTON
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State | VT
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Zip | 05401-3692
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Country | US
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Telephone | 732-600-3282
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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. STEPHEN JAMES BURKERT II
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Credential | PT
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Telephone | 732-600-3282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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