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General NPI Number Information
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NPI Number | 1629593108
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Entity Type | Individual
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Provider Name | HILLARY ROBERTS DMD
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Gender | Female
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Dates
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Enumeration Date | 08/07/2017
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Last Update Date | 08/07/2017
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Provider Practice Location Address
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Address Line | 1046 WESTERN AVE
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City | BRATTLEBORO
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State | VT
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Zip | 05301-7144
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Country | US
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Telephone | 802-254-2384
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Fax | 802-254-2384
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Provider Business Mailing Address
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Address Line | 22 HOUGHTON HILL RD
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City | VERNON
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State | VT
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Zip | 05354-9643
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Country | US
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Telephone | 602-920-6829
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 016.0130587
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License Number State | VT
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