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General NPI Number Information
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NPI Number | 1487987400
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Entity Type | Organization
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Legal Business Name | NCV PLLC
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 4076 SHELBURNE RD STE 5
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City | SHELBURNE
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State | VT
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Zip | 05482-6676
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Country | US
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Telephone | 802-985-9850
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Fax | 802-985-3711
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Provider Business Mailing Address
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Address Line | 4076 SHELBURNE RD STE 5
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City | SHELBURNE
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State | VT
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Zip | 05482-6676
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Country | US
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Telephone | 802-985-9850
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Fax | 802-985-3711
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MS. SARAH DUNN
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Credential |
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Telephone | 802-985-9850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 994
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 994
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number | 994
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License Number State | VT
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Taxonomy #4
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Taxonomy Code | 111NT0100X
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Taxonomy Name | Thermography Chiropractor
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License Number | 994
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License Number State | VT
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Taxonomy #5
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 994
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License Number State | VT
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