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General NPI Number Information
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NPI Number | 1629185731
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Entity Type | Individual
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Provider Name | MARILYN L TURCOTTE PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 16 MONSIGNOR CROSBY AVE
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City | MONTPELIER
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State | VT
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Zip | 05602-3517
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Country | US
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Telephone | 802-229-0203
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Fax | 802-229-0011
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Provider Business Mailing Address
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Address Line | 16 MONSIGNOR CROSBY AVE
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City | MONTPELIER
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State | VT
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Zip | 05602-3517
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Country | US
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Telephone | 802-229-0203
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Fax | 802-229-0011
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 048.0063811
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 3658-125
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 068-0000212
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License Number State | VT
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