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General NPI Number Information
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NPI Number | 1407641608
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Entity Type | Organization
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Legal Business Name | LITTLE RIVERS HEALTH CARE, INC.
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 744 VT 113
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City | WEST FAIRLEE
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State | VT
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Zip | 05083-4404
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Country | US
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Telephone | 802-333-4668
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8
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City | NEWBURY
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State | VT
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Zip | 05051-0008
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Country | US
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Telephone | 802-222-3000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANDREW I BARTER
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Credential |
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Telephone | 802-222-3023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LS0200X
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Taxonomy Name | School Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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