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General NPI Number Information
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NPI Number | 1548038607
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Entity Type | Organization
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Legal Business Name | SHEEHAN HEALTH CARE PLLC
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 198 N MAIN ST UNIT C-3
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City | RUTLAND
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State | VT
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Zip | 05701-3020
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Country | US
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Telephone | 802-236-6019
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Fax |
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Provider Business Mailing Address
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Address Line | 33 NORTH ST
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City | MIDDLETOWN SPRINGS
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State | VT
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Zip | 05757-4446
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Country | US
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Telephone | 802-683-5729
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. KRISTEN MARIE SHEEHAN
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Credential | APRN
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Telephone | 802-236-6019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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