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General NPI Number Information
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NPI Number | 1437435245
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Entity Type | Organization
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Legal Business Name | PORTER HOSPITAL INC
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 1436 EXCHANGE ST
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City | MIDDLEBURY
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State | VT
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Zip | 05753-4497
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Country | US
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Telephone | 802-388-3194
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Fax |
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Provider Business Mailing Address
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Address Line | 104 PORTER DR
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City | MIDDLEBURY
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State | VT
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Zip | 05753-8527
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Country | US
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Telephone | 802-388-8808
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Fax | 802-388-8322
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Authorized Official
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Title or Position | CFO
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Name | STEVE CIAMPA
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Credential |
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Telephone | 802-388-4752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | VT
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