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General NPI Number Information
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NPI Number | 1558535989
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Entity Type | Individual
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Provider Name | SARA CATHERINE GRAVES M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 130 FISHER RD, MOB-B, STE 4 CVMC ORTHOPEDICS & SPORTS MEDICINE
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City | BERLIN
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State | VT
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Zip | 05602-9516
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Country | US
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Telephone | 802-225-3970
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Fax | 802-225-1733
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Provider Business Mailing Address
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Address Line | PO BOX 547 ATT: CVMC FINANCE DEPT
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City | BARRE
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State | VT
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Zip | 05641-0547
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Country | US
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Telephone | 802-225-3970
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Fax | 802-225-1733
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 15982
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 58038
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 042.0013090
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License Number State | VT
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