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General NPI Number Information
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NPI Number | 1497884209
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Entity Type | Organization
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Legal Business Name | VERMONT MEDICAL SLEEP DISORDERS CENTER, INC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 139 PEARL ST
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City | ESSEX JUNCTION
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State | VT
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Zip | 05452-3659
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Country | US
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Telephone | 802-878-4445
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Fax | 802-878-4607
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Provider Business Mailing Address
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Address Line | 139 PEARL ST
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City | ESSEX JUNCTION
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State | VT
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Zip | 05452-3659
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Country | US
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Telephone | 802-878-4445
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Fax | 802-878-4607
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MR. RAMON DUANE PAQUETTE
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Credential | RPSGT
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Telephone | 802-878-4445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State | VT
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