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General NPI Number Information
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NPI Number | 1518510403
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Entity Type | Individual
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Provider Name | EMMA R SHELDON MS
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Gender | Female
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Dates
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Enumeration Date | 07/19/2019
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 439 WEST RIVER ROAD
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City | BRATTLEBORO
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State | VT
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Zip | 05301
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Country | US
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Telephone | 802-579-2500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 913
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City | BRATTLEBORO
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State | VT
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Zip | 05302-0913
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Country | US
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Telephone | 802-451-0426
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 097.0134537
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 068.0134918
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License Number State | VT
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