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General NPI Number Information
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NPI Number | 1417982547
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Entity Type | Organization
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Legal Business Name | MOUNTAINVIEW MEDICAL
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 03/10/2010
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Provider Practice Location Address
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Address Line | 195 HOSPITAL LOOP SUITE 3
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City | BERLIN
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State | VT
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Zip | 05602-9522
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Country | US
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Telephone | 802-225-5400
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Fax | 802-225-5401
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Provider Business Mailing Address
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Address Line | 195 HOSPITAL LOOP SUITE 3
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City | BERLIN
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State | VT
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Zip | 05602-9522
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Country | US
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Telephone | 802-225-5400
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Fax | 802-225-5401
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Authorized Official
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Title or Position | EMPLOYEE
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Name | DR. JOHN W VALENTINE
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Credential | MD
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Telephone | 802-225-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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