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General NPI Number Information
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NPI Number | 1588683544
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Entity Type | Organization
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Legal Business Name | COPLEY HOSPITAL INC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 528 WASHINGTON HWY
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City | MORRISVILLE
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State | VT
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Zip | 05661-8973
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Country | US
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Telephone | 802-888-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 528 WASHINGTON HWY
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City | MORRISVILLE
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State | VT
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Zip | 05661-8973
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Country | US
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Telephone | 802-888-8888
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JEFFREY HEBERT
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Credential |
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Telephone | 802-888-8663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 667
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License Number State | VT
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