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General NPI Number Information
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NPI Number | 1598354375
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Entity Type | Organization
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Legal Business Name | VERMONT TELEHEALTH & ONLINE COUNSELING SERVICES
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Dates
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Enumeration Date | 01/15/2021
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 132 MAIN ST
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City | MONTPELIER
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State | VT
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Zip | 05602-3226
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Country | US
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Telephone | 802-345-5303
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1513
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City | MONTPELIER
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State | VT
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Zip | 05601-1513
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Country | US
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Telephone | 802-345-5303
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ZACH SARGENT
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Credential | LICSW
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Telephone | 802-345-5303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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