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General NPI Number Information
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NPI Number | 1518078666
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Entity Type | Organization
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Legal Business Name | VERMONT CATHOLIC CHARITIES, INC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 47 HERRICK ROAD
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City | DERBY LINE
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State | VT
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Zip | 05830-8759
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Country | US
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Telephone | 802-873-3152
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Fax | 802-864-7297
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Provider Business Mailing Address
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Address Line | 55 JOY DRIVE
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-0000
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Country | US
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Telephone | 802-658-6111
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Fax | 802-860-0451
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. DENISE M PAYEA
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Credential |
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Telephone | 802-658-6111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 0143
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License Number State | VT
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