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General NPI Number Information
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NPI Number | 1487446225
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Entity Type | Individual
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Provider Name | SCOTT BAGG
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Gender | Male
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 130 FISHER RD
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City | BARRE
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State | VT
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Zip | 05641-9004
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Country | US
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Telephone | 802-371-5964
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Fax |
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Provider Business Mailing Address
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Address Line | 130 FISHER RD
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City | BARRE
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State | VT
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Zip | 05641-9004
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Country | US
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Telephone |
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Fax |
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 8946
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 026.0040251
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License Number State | VT
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