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General NPI Number Information
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NPI Number | 1609738624
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Entity Type | Organization
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Legal Business Name | GRAND ISLE SUPERVISORY UNION
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 6441 US ROUTE 2
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City | N. HERO
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State | VT
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Zip | 05474
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Country | US
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Telephone | 802-373-2133
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Fax |
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Provider Business Mailing Address
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Address Line | 6441 US ROUTE 2
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City | N. HERO
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State | VT
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Zip | 05474
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Country | US
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Telephone | 802-373-2133
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Fax | 802-796-3653
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Authorized Official
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Title or Position | MEDICAID COORDINATOR
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Name | CINDY K. EDWARDS
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Credential |
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Telephone | 802-373-2133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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