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General NPI Number Information
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NPI Number | 1376191114
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Entity Type | Organization
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Legal Business Name | RUTLAND NATUROPATHIC, PLLC
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 12/31/2023
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Provider Practice Location Address
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Address Line | 69 ALLEN ST STE 4
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City | RUTLAND
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State | VT
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Zip | 05701-4564
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Country | US
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Telephone | 802-772-7117
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Fax | 802-488-5716
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Provider Business Mailing Address
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Address Line | 69 ALLEN ST STE 4
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City | RUTLAND
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State | VT
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Zip | 05701-4564
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Country | US
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Telephone | 802-772-7117
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Fax | 802-488-5716
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Authorized Official
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Title or Position | NATUROPATHIC PHYSICIAN
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Name | DR. GREGORY JOHN BURKLAND
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Credential | ND
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Telephone | 802-772-7117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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