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General NPI Number Information
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NPI Number | 1427911031
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Entity Type | Individual
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Provider Name | GISELLE PALACIOS MS
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 148 COLLEGE ST
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City | BURLINGTON
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State | VT
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Zip | 05401-8476
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Country | US
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Telephone | 802-265-6909
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Fax | 802-451-0400
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Provider Business Mailing Address
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Address Line | 401 SAINT PAUL ST
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City | BURLINGTON
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State | VT
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Zip | 05401-5621
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Country | US
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Telephone | 802-265-6909
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Fax | 802-451-0400
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 097.0136069
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License Number State | VT
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