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General NPI Number Information
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NPI Number | 1518353275
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Entity Type | Individual
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Provider Name | SIGFUS KRISTINN GUNNLAUGSSON
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Gender | Male
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1 S PROSPECT ST
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City | BURLINGTON
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State | VT
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Zip | 05401-3456
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Country | US
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Telephone | 802-847-5338
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Fax |
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Provider Business Mailing Address
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Address Line | 111 COLCHESTER AVE
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City | BURLINGTON
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State | VT
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Zip | 05401-1473
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Country | US
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Telephone | 802-847-0000
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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 | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 042-0015637
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 326478
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2080S0012X
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Taxonomy Name | Pediatric Sleep Medicine Physician
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License Number | 042-0015637
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License Number State | VT
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Taxonomy #4
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Taxonomy Code | 2080S0012X
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Taxonomy Name | Pediatric Sleep Medicine Physician
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License Number | 326478
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License Number State | NY
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