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NPI 1548614522

NPI 1548614522 : ERIN O'BRIEN NP : VERGENNES, VT

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General NPI Number Information
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    NPI Number           |    1548614522
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    Entity Type          |    Individual 
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    Provider Name        |    ERIN O'BRIEN NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/15/2016
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    10 NORTH ST 
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    City                 |    VERGENNES
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    State                |    VT
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    Zip                  |    05491-1107
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    Country              |    US
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    Telephone            |    802-877-3466
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    Fax                  |    802-877-1188
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Provider Business Mailing Address
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    Address Line         |    1600 N BEAUREGARD ST STE 300 
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    City                 |    ALEXANDRIA
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    State                |    VA
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    Zip                  |    22311-1732
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    Country              |    US
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    Telephone            |    703-717-4148
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    0024175117
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    101.0119758
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    License Number State |    VT
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