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General NPI Number Information
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NPI Number | 1578573721
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Entity Type | Individual
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Provider Name | MARY PADDON L.M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 189 PROUTY DR NORTH COUNTRY GENERAL HOSPITAL - SUITE 504
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City | NEWPORT
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State | VT
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Zip | 05855-9326
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Country | US
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Telephone | 802-334-4104
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 383
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City | MONTGOMERY CENTER
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State | VT
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Zip | 05471-0383
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Country | US
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Telephone | 802-848-8080
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 100-0000043
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License Number State | VT
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